Valbenazine salts and polymorphs thereof

ABSTRACT

Provided herein are salts of (S)-2-amino-3-methyl-butyric acid (2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]-isoquinolin-2-yl ester in amorphous and crystalline forms, and processes of preparation, and pharmaceutical compositions thereof. Also provided are methods of their use for treating, preventing, or ameliorating one or more symptoms of neurological disorders and diseases including hyperkinetic movement disorders or diseases.

CROSS REFERENCE TO RELATED APPLICATION

This application claims the benefit of U.S. application Ser. No.16/662,346 filed Oct. 24, 2019, which claims the benefit of U.S.application Ser. No. 16/293,728 filed Mar. 6, 2019, which claims thebenefit of U.S. application Ser. No. 16/043,059 filed Jul. 23, 2018,which claims the benefit of U.S. application Ser. No. 15/338,214 filedOct. 28, 2016, now U.S. Pat. No. 10,065,952, which claims the benefit ofU.S. Provisional Application No. 62/249,074 filed Oct. 30, 2015; thedisclosure of each of which is incorporated herein by reference in itsentirety.

FIELD

Provided herein are salts of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester in amorphous and crystalline forms, processes of preparationthereof, and pharmaceutical compositions thereof. Also provided aremethods of their use for treating, preventing, or ameliorating one ormore symptoms of neurological disorders and diseases includinghyperkinetic movement disorders or diseases.

BACKGROUND

Hyperkinetic disorders are characterized by excessive, abnormalinvoluntary movement. These neurologic disorders include tremor,dystonia, ballism, tics, akathisia, stereotypies, chorea, myoclonus andathetosis. Though the pathophysiology of these movement disorders ispoorly understood, it is thought that dysregulation of neurotransmittersin the basal ganglia plays an important role. (Kenney et.al., ExpertReview Neurotherapeutics, 2005, 6, 7-17). The chronic use and highdosing of typical neuropletics or centrally acting dopamine receptorblocking antiemetics predispose patients to the onset of tardivesyndromes. Tardive dyskinesia, one subtype of the latter syndromes, ischaracterized by rapid, repetitive, stereotypic, involuntary movementsof the face, limbs, or trunk. (Muller, Expert Opin. Investig. Drugs,2015, 24, 737-742).

The reversible inhibition of the vesicular monoamine transporter-2system (VMAT2) by3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-one,also known as tetrabenazine (TBZ), improves the treatment of varioushyperkinetic movement disorders. However, the drawbacks to suchtreatment are the fluctuating response, the need for frequent intake doto TBZ rapid metabolism, and side effects. Side effects associated withTBZ include sedation, depression, akathisia, and parkinsonism.

TBZ, which contains two chiral centers and is a racemic mix of twostereoisomers, is rapidly and extensively metabolized in vivo to itsreduced form, 3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ol,also known as dihydrotetrabenazine (DHTBZ). DHTBZ is thought to exist asfour individual isomers: (±) alpha-DHTBZ and (±) beta-DHTBZ. The 2R, 3R,11bR or (+) alpha-DHTBZ is believed to be the absolute configuration ofthe active metabolite. (Kilbourn et al., Chirality, 1997, 9, 59-62).Tetrabenazine has orphan drug status in US and is approved in certainEuropean countries. Its use is also allowed for therapy of chorea inpatients with Hungtington's disease. However, tetrabenazine is rapidlymetabolized and must frequently be administered throughout the day.(Muller, Expert Opin. Investig. Drugs, 2015, 24, 737-742). Therefore,there is an unmet need in the art to develop effective therapeutics fortreatment of hyperkinetic movement disorders, including tardivedyskinesia.

Valbenazine, (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester, the purified prodrug of the (+)-α-isomer of dihydrotetrabenazine,recently showed a distinctive improvement in the treatment ofhyperkinetic movement disorders, including tardive dyskinesia symptoms,with improved pharmacokinetic and tolerability profiles.

SUMMARY OF THE DISCLOSURE

Provided herein are pharmaceutically acceptable salts of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester of Formula:

or an isotopic variant thereof; or solvate thereof.

Provided herein is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) of Formula I:

or an isotopic variant thereof; or solvate thereof.

Also provided herein are Forms I, II, III, IV, V, and VI of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof or solvate thereof.

Provided herein is a process for preparing a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof; or a pharmaceutically acceptable salt orsolvate thereof comprising dissolving(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) in asolvent at a first temperature.

Provided herein is a pharmaceutical composition comprising a crystallineform of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof; or solvate thereof.

Provided herein is a method for the treatment, prevention, oramelioration of one or more symptoms of hyperkinetic disorder,comprising administering to a subject a pharmaceutically acceptable saltof (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylor an isotopic variant thereof or solvate thereof.

Provided herein is a method for the treatment, prevention, oramelioration of one or more symptoms of hyperkinetic disorder,comprising administering to a subject a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof; or solvate thereof.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 depicts an exemplary X-ray powder (XRP) diffractogram of a sampleof(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) incrystalline Form I.

FIG. 2 depicts exemplary Thermogravimetric Analysis (TGA) thermogram(dotted line) and Differential Scanning calorimetry (DSC) diffractogram(solid line) of a sample of Formula I in crystalline Form I.

FIG. 3 depicts an exemplary Gravimetric Vapor Sorption (GVS) of a sampleof Formula I in crystalline Form I.

FIG. 4A depicts a scanning electron microscopic (SEM) photograph of theparticulates of a sample of Formula I in Form I at magnification of 500.FIG. 4B depicts a scanning electron microscopic (SEM) photograph of theparticulates of a sample of Formula I in Form I at magnification of2,000. FIG. 4C depicts a scanning electron microscopic (SEM) photographof the particulates of a sample of Formula I in Form I at magnificationof 5,000.

FIG. 5 depicts an exemplary X-ray powder (XRP) diffractogram of a sampleof Formula I in crystalline Form II.

FIG. 6A depicts an exemplary Differential Scanning calorimetry (DSC)diffractogram of a sample of Formula I in crystalline Form II. FIG. 6Bdepicts an exemplary Thermogravimetric Analysis (TGA) thermogram of asample of Formula I in crystalline Form II.

FIG. 7 depicts an exemplary Gravimetric Vapor Sorption (GVS) of a sampleof Formula I in crystalline Form II.

FIG. 8 depicts an exemplary X-ray powder (XRP) diffractogram of a sampleof Formula I in crystalline Form III.

FIG. 9A depicts an exemplary Thermogravimetric Analysis (TGA) thermogramof a sample of Formula I in crystalline Form III. FIG. 9B depicts anexemplary Differential Scanning calorimetry (DSC) diffractogram of asample of Formula I in crystalline Form III.

FIG. 10 depicts an exemplary X-ray powder (XRP) diffractogram of asample of Formula I in crystalline Form IV.

FIG. 11 depicts exemplary Thermogravimetric Analysis (TGA) thermogram(dotted line) and Differential Scanning calorimetry (DSC) diffractogram(solid line) of a sample of Formula I in crystalline Form IV.

FIG. 12 depicts an exemplary Gravimetric Vapor Sorption (GVS) of asample of Formula I in crystalline Form IV.

FIG. 13 depicts an exemplary X-ray powder (XRP) diffractogram of asample of Formula I in crystalline Form V.

FIG. 14 depicts exemplary Thermogravimetric Analysis (TGA) thermogram(dotted line) and Differential Scanning calorimetry (DSC) diffractogram(solid line) of a sample of Formula I in crystalline Form V.

FIG. 15 depicts an exemplary Gravimetric Vapor Sorption (GVS) of asample of Formula I in crystalline Form V.

FIG. 16 depicts an exemplary X-ray powder (XRP) diffractogram of asample of Formula I in crystalline Form VI.

FIG. 17 depicts exemplary Thermogravimetric Analysis (TGA) thermogram(solid line) and Differential Scanning calorimetry (DSC) diffractogram(dotted line) of a sample of Formula I in crystalline Form VI.

FIG. 18 depicts an exemplary Gravimetric Vapor Sorption (GVS) of asample of Formula I in crystalline Form VI.

FIG. 19 depicts an exemplary X-ray powder (XRP) diffractogram of asample of Formula I in amorphous form.

FIG. 20 depicts an exemplary X-ray powder (XRP) diffractogram of asample of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) in crystallineForm I.

FIG. 21A depicts an exemplary Differential Scanning calorimetry (DSC)diffractogram of a sample of Formula II in crystalline Form I. FIG. 21Bdepicts an exemplary Thermogravimetric Analysis (TGA) thermogram of asample of Formula II in crystalline Form I.

FIG. 22 depicts an exemplary Gravimetric Vapor Sorption (GVS) of asample of Formula II in crystalline Form I.

FIG. 23 depicts an exemplary X-ray powder (XRP) diffractogram of asample of Formula II in crystalline Form II.

FIG. 24A depicts an exemplary Differential Scanning calorimetry (DSC)diffractogram of a sample of Formula II in crystalline Form II. FIG. 24Bdepicts an exemplary Thermogravimetric Analysis (TGA) thermogram of asample of Formula II in crystalline Form II.

FIG. 25 depicts an exemplary Gravimetric Vapor Sorption (GVS) of asample of Formula II in crystalline Form II.

FIG. 26 depicts an exemplary X-ray powder (XRP) diffractogram of asample of Formula II in amorphous form.

Dotted and solid lines in the Figures are for the sole purpose ofdistinguishing the plots and are not intended to mean intensity ofsignal.

DETAILED DESCRIPTION OF THE INVENTION Definitions

To facilitate understanding of the disclosure set forth herein, a numberof terms are defined below.

Generally, the nomenclature used herein and the laboratory procedures inorganic chemistry, medicinal chemistry, and pharmacology describedherein are those well known and commonly employed in the art. Unlessdefined otherwise, all technical and scientific terms used hereingenerally have the same meaning as commonly understood by one ofordinary skill in the art to which this disclosure belongs.

The term “subject” refers to an animal, including, but not limited to, aprimate (e.g., human), cow, pig, sheep, goat, horse, dog, cat, rabbit,rat, or mouse. The terms “subject” and “patient” are usedinterchangeably herein in reference, for example, to a mammaliansubject, such as a human subject, in one embodiment, a human.

As used herein, “isotopically enriched” refers to an atom having anisotopic composition other than the natural isotopic composition of thatatom. “Isotopically enriched” may also refer to a compound containing atleast one atom having an isotopic composition other than the naturalisotopic composition of that atom.

With regard to the compounds provided herein, when a particular atomicposition is designated as having deuterium or “D,” it is understood thatthe abundance of deuterium at that position is substantially greaterthan the natural abundance of deuterium, which is about 0.015%. Aposition designated as having deuterium typically has a minimum isotopicenrichment factor of, in particular embodiments, at least 1000 (15%deuterium incorporation), at least 2000 (30% deuterium incorporation),at least 3000 (45% deuterium incorporation), at least 3500 (52.5%deuterium incorporation), at least 4000 (60% deuterium incorporation),at least 4500 (67.5% deuterium incorporation), at least 5000 (75%deuterium incorporation), at least 5500 (82.5% deuterium incorporation),at least 6000 (90% deuterium incorporation), at least 6333.3 (95%deuterium incorporation), at least 6466.7 (97% deuterium incorporation),at least 6600 (99% deuterium incorporation), or at least 6633.3 (99.5%deuterium incorporation) at each designated deuterium position.

The isotopic enrichment of the compounds provided herein can bedetermined using conventional analytical methods known to one ofordinary skill in the art, including mass spectrometry, nuclear magneticresonance spectroscopy, and crystallography.

Isotopic enrichment (for example, deuteration) of pharmaceuticals toimprove pharmacokinetics (“PK”), pharmacodynamics (“PD”), and toxicityprofiles, has been demonstrated previously with some classes of drugs.See, for example, Lijinsky et. al., Food Cosmet. Toxicol., 20: 393(1982); Lijinsky et. al., J. Nat. Cancer Inst., 69: 1127 (1982); Mangoldet. al., Mutation Res. 308: 33 (1994); Gordon et. al., Drug Metab.Dispos 15: 589 (1987); Zello et. al., Metabolism, 43: 487 (1994); Gatelyet. al., J. Nucl. Med., 27: 388 (1986); Wade D, Chem. Biol. Interact.117: 191 (1999).

Isotopic enrichment of a drug can be used, for example, to (1) reduce oreliminate unwanted metabolites, (2) increase the half-life of the parentdrug, (3) decrease the number of doses needed to achieve a desiredeffect, (4) decrease the amount of a dose necessary to achieve a desiredeffect, (5) increase the formation of active metabolites, if any areformed, and/or (6) decrease the production of deleterious metabolites inspecific tissues and/or create a more effective drug and/or a safer drugfor combination therapy, whether the combination therapy is intentionalor not.

Replacement of an atom for one of its isotopes often will result in achange in the reaction rate of a chemical reaction. This phenomenon isknown as the Kinetic Isotope Effect (“KIE”). For example, if a C—H bondis broken during a rate-determining step in a chemical reaction (i.e.the step with the highest transition state energy), substitution of adeuterium for that hydrogen will cause a decrease in the reaction rateand the process will slow down. This phenomenon is known as theDeuterium Kinetic Isotope Effect (“DKIE”). (See, e.g., Foster et al.,Adv. Drug Res., vol. 14, pp. 1-36 (1985); Kushner et al., Can. J.Physiol. Pharmacol., vol. 77, pp. 79-88 (1999)).

The magnitude of the DKIE can be expressed as the ratio between therates of a given reaction in which a C—H bond is broken, and the samereaction where deuterium is substituted for hydrogen. The DKIE can rangefrom about 1 (no isotope effect) to very large numbers, such as 50 ormore, meaning that the reaction can be fifty, or more, times slower whendeuterium is substituted for hydrogen. High DKIE values may be due inpart to a phenomenon known as tunneling, which is a consequence of theuncertainty principle. Tunneling is ascribed to the small mass of ahydrogen atom, and occurs because transition states involving a protoncan sometimes form in the absence of the required activation energy.Because deuterium has more mass than hydrogen, it statistically has amuch lower probability of undergoing this phenomenon.

Tritium (“T”) is a radioactive isotope of hydrogen, used in research,fusion reactors, neutron generators and radiopharmaceuticals. Tritium isa hydrogen atom that has 2 neutrons in the nucleus and has an atomicweight close to 3. It occurs naturally in the environment in very lowconcentrations, most commonly found as T₂O. Tritium decays slowly(half-life=12.3 years) and emits a low energy beta particle that cannotpenetrate the outer layer of human skin. Internal exposure is the mainhazard associated with this isotope, yet it must be ingested in largeamounts to pose a significant health risk. As compared with deuterium, alesser amount of tritium must be consumed before it reaches a hazardouslevel. Substitution of tritium (“T”) for hydrogen results in yet astronger bond than deuterium and gives numerically larger isotopeeffects. Similarly, substitution of isotopes for other elements,including, but not limited to, ¹³C or ¹⁴C for carbon, ³³S, ³⁴S, or ³⁶Sfor sulfur, ¹⁵N for nitrogen, and ¹⁷O or ¹⁸O for oxygen, may lead to asimilar kinetic isotope effect.

For example, the DKIE was used to decrease the hepatotoxicity ofhalothane by presumably limiting the production of reactive species suchas trifluoroacetyl chloride. However, this method may not be applicableto all drug classes. For example, deuterium incorporation can lead tometabolic switching. The concept of metabolic switching asserts thatxenogens, when sequestered by Phase I enzymes, may bind transiently andre-bind in a variety of conformations prior to the chemical reaction(e.g., oxidation). This hypothesis is supported by the relatively vastsize of binding pockets in many Phase I enzymes and the promiscuousnature of many metabolic reactions. Metabolic switching can potentiallylead to different proportions of known metabolites as well as altogethernew metabolites. This new metabolic profile may impart more or lesstoxicity.

The animal body expresses a variety of enzymes for the purpose ofeliminating foreign substances, such as therapeutic agents, from itscirculation system. Examples of such enzymes include the cytochrome P450enzymes (“CYPs”), esterases, proteases, reductases, dehydrogenases, andmonoamine oxidases, to react with and convert these foreign substancesto more polar intermediates or metabolites for renal excretion. Some ofthe most common metabolic reactions of pharmaceutical compounds involvethe oxidation of a carbon-hydrogen (C—H) bond to either a carbon-oxygen(C—O) or carbon-carbon (C—C) pi-bond. The resultant metabolites may bestable or unstable under physiological conditions, and can havesubstantially different pharmacokinetic, pharmacodynamic, and acute andlong-term toxicity profiles relative to the parent compounds. For manydrugs, such oxidations are rapid. These drugs therefore often requirethe administration of multiple or high daily doses.

Therefore, isotopic enrichment at certain positions of a compoundprovided herein will produce a detectable KIE that will affect thepharmacokinetic, pharmacologic, and/or toxicological profiles of acompound provided herein in comparison with a similar compound having anatural isotopic composition.

The term “isotopic variant” refers to a therapeutic agent that containsan unnatural proportion of an isotope at one or more of the atoms thatconstitute such a therapeutic agent. In certain embodiments, an“isotopic variant” of a therapeutic agent contains unnatural proportionsof one or more isotopes, including, but not limited to, hydrogen (¹H),deuterium (²H), tritium (³H), carbon-11 (¹¹C), carbon-12 (¹²C),carbon-13 (¹³C), carbon-14 (¹⁴C), nitrogen-13 (¹³N), nitrogen-14 (¹⁴N),nitrogen-15 (¹⁵N), oxygen-14 (¹⁴O), oxygen-15 (¹⁵O), oxygen-16 (¹⁶O),oxygen-17 (¹⁷O), oxygen-18 (¹⁸O), fluorine-17 (¹⁷F), fluorine-18 (¹⁸F),phosphorus-31 (³¹P), phosphorus-32 (³²P), phosphorus-33 (³³P), sulfur-32(³²S), sulfur-33 (³³S), sulfur-34 (³⁴S), sulfur-35 (³⁵S), sulfur-36(³⁶S), chlorine-35 (³⁵Cl), chlorine-36 (³⁶Cl), chlorine-37 (³⁷Cl),bromine-79 (⁷⁹Br), bromine-81 (⁸¹Br), iodine 123 (¹²³I) iodine-125(¹²⁵I), iodine-127 (¹²⁷I) iodine-129 (¹²⁹I) and iodine-131 (¹³¹I). Incertain embodiments, an “isotopic variant” of a therapeutic agentcontains unnatural proportions of one or more isotopes, including, butnot limited to, hydrogen (¹H), deuterium (²H), tritium (³H), carbon-11(¹¹C), carbon-12 (¹²C), carbon-13 (¹³C), carbon-14C), nitrogen-13 (¹³N),nitrogen-14 (¹⁴N), nitrogen-15 (¹⁵N), oxygen-14 (¹⁴O), oxygen-15 (¹⁵O),oxygen-16 (¹⁶O), oxygen-17 (¹⁷O), oxygen-18 (¹⁸O) fluorine-17 (¹⁷F),fluorine-18 (¹⁸F), phosphorus-31 (³¹P), phosphorus-32 (³²P),phosphorus-33 (³³P), sulfur-32 (³²S), sulfur-33 (³³S), sulfur-34 (³⁴S),sulfur-35 (³⁵S), sulfur-36 (³⁶S), chlorine-35 (³⁵Cl), chlorine-36(³⁶Cl), chlorine-37 (³⁷Cl), bromine-79 (⁷⁹Br), bromine-81 (⁸¹Br), iodine123 (¹²³I) iodine-125 (¹²⁵I) iodine-127 (¹²⁷I) iodine-129 (¹²⁹I), andiodine-131 (¹³¹I).

It will be understood that, in a therapeutic agent, any hydrogen can be²H, for example, or any carbon can be ¹³C, for example, or any nitrogencan be ¹⁵N, for example, or any oxygen can be ¹⁸O, for example, wherefeasible according to the judgment of one of skill. In certainembodiments, an “isotopic variant” of a therapeutic agent containsunnatural proportions of deuterium (D).

The terms “treat,” “treating,” and “treatment” are meant to includealleviating or abrogating a disorder, disease, or condition, or one ormore of the symptoms associated with the disorder, disease, orcondition; or alleviating or eradicating the cause(s) of the disorder,disease, or condition itself.

The terms “prevent,” “preventing,” and “prevention” are meant to includea method of delaying and/or precluding the onset of a disorder, disease,or condition, and/or its attendant symptoms; barring a subject fromacquiring a disorder, disease, or condition; or reducing a subject'srisk of acquiring a disorder, disease, or condition.

As used herein, and unless otherwise specified, the terms “manage,”“managing” and “management” refer to preventing or slowing theprogression, spread or worsening of a disease or disorder, or of one ormore symptoms thereof. Often, the beneficial effects that a subjectderives from a prophylactic and/or therapeutic agent do not result in acure of the disease or disorder. In this regard, the term “managing”encompasses treating a subject who had suffered from the particulardisease in an attempt to prevent or minimize the recurrence of thedisease.

As used herein, amelioration of the symptoms of a particular disorder byadministration of a particular pharmaceutical composition refers to anylessening, whether permanent or temporary, lasting or transient, thatcan be attributed to or associated with administration of thecomposition.

The term “disorder” as used herein is intended to be generallysynonymous, and is used interchangeably with, the terms “disease”,“syndrome”, and “condition” (as in medical condition), in that allreflect an abnormal condition of the human or animal body or of one ofits parts that impairs normal functioning, is typically manifested bydistinguishing signs and symptoms.

The term “therapeutically effective amount” are meant to include theamount of a compound that, when administered, is sufficient to preventdevelopment of, or alleviate to some extent, one or more of the symptomsof the disorder, disease, or condition being treated. The term“therapeutically effective amount” also refers to the amount of acompound that is sufficient to elicit the biological or medical responseof a biological molecule (e.g., a protein, enzyme, RNA, or DNA), cell,tissue, system, animal, or human, which is being sought by a researcher,veterinarian, medical doctor, or clinician.

As used herein, and unless otherwise specified, a “prophylacticallyeffective amount” of a compound is an amount sufficient to prevent adisease or disorder, or prevent its recurrence. A prophylacticallyeffective amount of a compound means an amount of therapeutic agent,alone or in combination with one or more other agent(s), which providesa prophylactic benefit in the prevention of the disease. The term“prophylactically effective amount” can encompass an amount thatimproves overall prophylaxis or enhances the prophylactic efficacy ofanother prophylactic agent.

The term “pharmaceutically acceptable carrier,” “pharmaceuticallyacceptable excipient,” “physiologically acceptable carrier,” or“physiologically acceptable excipient” refers to apharmaceutically-acceptable material, composition, or vehicle, such as aliquid or solid filler, diluent, solvent, or encapsulating material. Inone embodiment, each component is “pharmaceutically acceptable” in thesense of being compatible with the other ingredients of a pharmaceuticalformulation, and suitable for use in contact with the tissue or organ ofhumans and animals without excessive toxicity, irritation, allergicresponse, immunogenicity, or other problems or complications,commensurate with a reasonable benefit/risk ratio. See, Remington: TheScience and Practice of Pharmacy, 22nd ed.; Pharmaceutical Press: 2012;Handbook of Pharmaceutical Excipients, 7th ed.; Rowe et al., Eds.; ThePharmaceutical Press: 2012; Handbook of Pharmaceutical Additives, 3rded.; Ash and Ash Eds.; Gower Publishing Company: 2007; PharmaceuticalPreformulation and Formulation, 2nd ed.; Gibson Ed.; CRC Press LLC: BocaRaton, Fla., 2009.

As used in the specification and the accompanying claims, the indefinitearticles “a” and “an” and the definite article “the” include plural aswell as singular referents, unless the context clearly dictatesotherwise.

The term “about” or “approximately” means an acceptable error for aparticular value as determined by one of ordinary skill in the art,which depends in part on how the value is measured or determined. Incertain embodiments, the term “about” or “approximately” means within 1,2, 3, or 4 standard deviations. In certain embodiments, the term “about”or “approximately” means within 30%, 25%, 20%, 15%, 10%, 9%, 8%, 7%, 6%,5%, 4%, 3%, 2%, 1%, 0.5%, or 0.05% of a given value or range. In certainembodiments, “about” or “approximately” with reference to X-ray powderdiffraction two-theta peaks means within ±0.2°.

The terms “active ingredient” and “active substance” refer to acompound, which is administered, alone or in combination with one ormore pharmaceutically acceptable excipients, to a subject for treating,preventing, or ameliorating one or more symptoms of a disorder, disease,or condition. As used herein, “active ingredient” and “active substance”may be an optically active isomer or an isotopic variant of a compounddescribed herein.

The term “anti-solvent” refers to a liquid that is added to a solvent toreduce the solubility of a compound in that solvent, in some instances,resulting in precipitation of the compound.

The terms “drug,” “therapeutic agent,” and “chemotherapeutic agent”refer to a compound, or a pharmaceutical composition thereof, which isadministered to a subject for treating, preventing, or ameliorating oneor more symptoms of a disorder, disease, or condition.

The term “solvate” refers to a complex or aggregate formed by one ormore molecules of a solute, e.g., a compound provided herein, and one ormore molecules of a solvent, which present in stoichiometric ornon-stoichiometric amount. Suitable solvents include, but are notlimited to, water, methanol, ethanol, n-propanol, isopropanol, andacetic acid. In certain embodiments, the solvent is pharmaceuticallyacceptable. In one embodiment, the complex or aggregate is in acrystalline form. In another embodiment, the complex or aggregate is ina noncrystalline form. Where the solvent is water, the solvate is ahydrate. Examples of hydrates include, but are not limited to, ahemihydrate, monohydrate, dihydrate, trihydrate, tetrahydrate, andpentahydrate.

The term “crystalline form” of a compound can refer to any crystallineform of the compound as a free acid, the compound as a free base, as anacid addition salt of the compound, an base addition salt of thecompound, a complex of the compound, a solvate (including hydrate) ofthe compound, or a co-crystal of the compound. The term “solid form” ofa compound can refer to any crystalline form of the compound or anyamorphous form of the compound as a free acid, the compound as a freebase, as an acid addition salt of the compound, an base addition salt ofthe compound, a complex of the compound, or a solvate (includinghydrate) of the compound, or a co-precipitation of the compound. In manyinstances, the terms “crystalline form” and “solid form” can refer tothose that are pharmaceutically acceptable, including, for example,those of pharmaceutically acceptable addition salts, pharmaceuticallyacceptable complexes, pharmaceutically acceptable solvates,pharmaceutically acceptable co-crystals, and pharmaceutically acceptableco-precipitations.

The term “stereotyped” refers to a repeated behavior that appearsrepetitively with slight variation or, less commonly, as a complexseries of movements.

The term “hyperkinetic disorder” or “hyperkinetic movement disorder” or“hyperkinesias” refers to disorders or diseases characterized byexcessive, abnormal, involuntary movements. These disorders include butare not limited to Huntington's disease, tardive dyskinesia, Tourettesyndrome, dystonia, hemiballismus, chorea, senile chorea, or tics.

The term “neurological disorder” or “neurological disease” include butis not limited to hyperkinetic disorder, bipolar disorder, majordepressive disorder, anxiety, attention-deficit hyperactivity disorder,dementia, depression, insomnia, psychosis, post-traumatic stressdisorder, substance abuse, Parkinson's disease levodopa-induceddyskinesia, movement disorders, or oppositional defiant disorder.

The term “tardive syndrome” encompasses but is not limited to tardivedyskinesia, tardive dystonia, tardive akathisia, tardive tics,myoclonus, tremor and withdrawal-emergent syndrome.

The term “VMAT2” refers to human vesicular monoamine transporter isoform2, an integral membrane protein that acts to transport monoamines,particularly neurotransmitters such as dopamine, norepinephrine,serotonin, and histamine, from cellular cytosol into synaptic vesicles.

The term “VMAT2-mediated disorder,” refers to a disorder that ischaracterized by abnormal VMAT2 activity, or VMAT2 activity that, whenmodulated, leads to the amelioration of other abnormal biologicalprocesses. A VMAT2-mediated disorder may be completely or partiallymediated by modulating VMAT2. In particular, a VMAT2-mediated disorderis one in which inhibition of VMAT2 results in some effect on theunderlying disorder e.g., administration of a VMAT2 inhibitor results insome improvement in at least some of the patients being treated.

The term “VMAT2 inhibitor”, “inhibit VMAT2”, or “inhibition of VMAT2”refers to the ability of a compound disclosed herein to alter thefunction of VMAT2. A VMAT2 inhibitor may block or reduce the activity ofVMAT2 by forming a reversible or irreversible covalent bond between theinhibitor and VMAT2 or through formation of a noncovalently boundcomplex. Such inhibition may be manifest only in particular cell typesor may be contingent on a particular biological event. The term “VMAT2inhibitor”, “inhibit VMAT2”, or “inhibition of VMAT2” also refers toaltering the function of VMAT2 by decreasing the probability that acomplex forms between a VMAT2 and a natural substrate. In someembodiments, modulation of the VMAT2 may be assessed using the methoddescribed in WO 2005/077946; WO 2008/058261; EP 1716145; Kilbourn etal., European Journal of Pharmacology 1995, (278), 249-252; Lee et al.,J. Med. Chem., 1996, (39), 191-196; Scherman et al., Journal ofNeurochemistry 1988, 50(4), 1131-36; Kilbourn et al., Synapse 2002,43(3), 188-194; Kilbourn et al., European Journal of Pharmacology 1997,331(2-3), 161-68; and Erickson et al., Journal of Molecular Neuroscience1995, 6(4), 277-87.

“Pharmaceutically acceptable salt” refers to any salt of a compoundprovided herein which retains its biological properties and which is nottoxic or otherwise undesirable for pharmaceutical use. Such salts may bederived from a variety of organic and inorganic counter-ions well knownin the art. Such salts include, but are not limited to: (1) acidaddition salts formed with organic or inorganic acids such ashydrochloric, hydrobromic, sulfuric, nitric, phosphoric, sulfamic,acetic, trifluoroacetic, trichloroacetic, propionic, hexanoic,cyclopentylpropionic, glycolic, glutaric, pyruvic, lactic, malonic,succinic, sorbic, ascorbic, malic, maleic, fumaric, tartaric, citric,benzoic, 3-(4-hydroxybenzoyl)benzoic, picric, cinnamic, mandelic,phthalic, lauric, methanesulfonic, ethanesulfonic,1,2-ethane-disulfonic, 2-hydroxyethanesulfonic, benzenesulfonic,4-chlorobenzenesulfonic, 2-naphthalenesulfonic, 4-toluenesulfonic,camphoric, camphorsulfonic,4-methylbicyclo[2.2.2]-oct-2-ene-1-carboxylic, glucoheptonic,3-phenylpropionic, trimethylacetic, tert-butylacetic, lauryl sulfuric,gluconic, benzoic, glutamic, hydroxynaphthoic, salicylic, stearic,cyclohexylsulfamic, quinic, muconic acid and the like acids; or (2)salts formed when an acidic proton present in the parent compound either(a) is replaced by a metal ion, e.g., an alkali metal ion, an alkalineearth ion or an aluminum ion, or alkali metal or alkaline earth metalhydroxides, such as sodium, potassium, calcium, magnesium, aluminum,lithium, zinc, and barium hydroxide, ammonia, or (b) coordinates with anorganic base, such as aliphatic, alicyclic, or aromatic organic amines,such as ammonia, methylamine, dimethylamine, diethylamine, picoline,ethanolamine, diethanolamine, triethanolamine, ethylenediamine, lysine,arginine, ornithine, choline, N,N′-dibenzylethylene-diamine,chloroprocaine, diethanolamine, procaine, N-benzylphenethylamine,N-methylglucamine piperazine, tris(hydroxymethyl)-aminomethane,tetramethylammonium hydroxide, and the like.

Pharmaceutically acceptable salts further include, by way of exampleonly and without limitation, sodium, potassium, calcium, magnesium,ammonium, tetraalkylammonium, and the like, and when the compoundcontains a basic functionality, salts of non-toxic organic or inorganicacids, such as hydrohalides, e.g. hydrochloride and hydrobromide,sulfate, phosphate, sulfamate, nitrate, acetate, trifluoroacetate,trichloroacetate, propionate, hexanoate, cyclopentylpropionate,glycolate, glutarate, pyruvate, lactate, malonate, succinate, sorbate,ascorbate, malate, maleate, fumarate, tartarate, citrate, benzoate,3-(4-hydroxybenzoyl)benzoate, picrate, cinnamate, mandelate, phthalate,laurate, methanesulfonate (mesylate), ethanesulfonate,1,2-ethane-disulfonate, 2-hydroxyethanesulfonate, benzenesulfonate(besylate), 4-chlorobenzenesulfonate, 2-naphthalenesulfonate,4-toluenesulfonate, camphorate, camphorsulfonate,4-methylbicyclo[2.2.2]-oct-2-ene-1-carboxylate, glucoheptonate,3-phenylpropionate, trimethylacetate, tert-butylacetate, lauryl sulfate,gluconate, benzoate, glutamate, hydroxynaphthoate, salicylate, stearate,cyclohexylsulfamate, quinate, muconate, and the like.

The term “amino acid” refers to naturally occurring and synthetic α, β,γ, or δ amino acids, and includes but is not limited to, amino acidsfound in proteins, i.e. glycine, alanine, valine, leucine, isoleucine,methionine, phenylalanine, tryptophan, proline, serine, threonine,cysteine, tyrosine, asparagine, glutamine, aspartate, glutamate, lysine,arginine and histidine. In one embodiment, the amino acid is in theL-configuration. Alternatively, the amino acid can be a derivative ofalanyl, valinyl, leucinyl, isoleuccinyl, prolinyl, phenylalaninyl,tryptophanyl, methioninyl, glycinyl, serinyl, threoninyl, cysteinyl,tyrosinyl, asparaginyl, glutaminyl, aspartoyl, glutaroyl, lysinyl,argininyl, histidinyl, β-alanyl, β-valinyl, β-leucinyl, β-isoleuccinyl,β-prolinyl, β-phenylalaninyl, β-tryptophanyl, β-methioninyl, β-glycinyl,β-serinyl, β-threoninyl, β-cysteinyl, β-tyrosinyl, β-asparaginyl,β-glutaminyl, β-aspartoyl, β-glutaroyl, β-lysinyl, β-argininyl, orβ-histidinyl.

Solid Forms

In one embodiment, provided herein are pharmaceutically acceptable saltsof (5)-2-amino-3-methyl-butyric acid (2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester or an isotopic variant thereof. (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester has the structure of Formula:

The compound (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester, also known as valbenazine, can be prepared according to U.S. Pat.Nos. 8,039,627 and 8,357,697, the disclosure of each of which isincorporated herein by reference in its entirety.

Valbenazine Ditosylate

In another embodiment, provided herein is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) or an isotopicvariant thereof or solvate thereof of Formula I:

The crystalline forms as shown herein (e.g., of Formula I) may becharacterized using a number of methods known to a person skilled in theart, including single crystal X-ray diffraction, X-ray powderdiffraction (XRPD), microscopy (e.g., scanning electron microscopy(SEM)), thermal analysis (e.g., differential scanning calorimetry (DSC),thermal gravimetric analysis (TGA), and hot-stage microscopy, andspectroscopy (e.g., infrared, Raman, solid-state nuclear magneticresonance). The particle size and size distribution may be determined byconventional methods, such as laser light scattering technique. Thepurity of the crystalline forms provided herein may be determined bystandard analytical methods, such as thin layer chromatography (TLC),gel electrophoresis, gas chromatography, high performance liquidchromatography (HPLC), and mass spectrometry (MS).

Valbenazine Ditosylate Form I

In yet another embodiment, provided herein is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof or solvate thereof; wherein the crystallineform is Form I.

In various embodiments, crystalline Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern. In some embodiments, the X-ray diffractionpattern of Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.3, 17.9, and 19.7°. In some embodiments, the X-ray powder diffractionpattern of Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.3, 17.9, or 19.7°. In another embodiment, crystalline Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.3° and 19.7°. In another embodiment, crystalline Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.3°. In certain embodiments, crystalline Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern substantially as shown in FIG. 1.

In some embodiments, crystalline Form I has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.3° andapproximately 19.7°. In certain embodiments, crystalline Form I has oneor more characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.3°, approximately 17.9°, and approximately 19.7°. Insome embodiments, crystalline Form I has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 6.3°,approximately 17.9°, approximately 19.7°, and approximately 22.7°. Incertain embodiments, crystalline Form I has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.3°,approximately 15.6°, approximately 17.9°, approximately 19.7°, andapproximately 22.7°. In some embodiments, crystalline Form I has one ormore characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.3°, approximately 15.6°, approximately 16.6°,approximately 17.9°, approximately 19.7°, and approximately 22.7°.

In various embodiments, crystalline Form I has an endothermicdifferential scanning calorimetric (DSC) thermogram. In someembodiments, crystalline Form I has a DSC thermogram comprising anendothermic event with an onset temperature of about 240° C. and a peakat about 243° C. In yet another embodiment, crystalline Form I has a DSCthermogram substantially as shown in FIG. 2. In yet another embodiment,crystalline Form I has a thermal gravimetric analysis (TGA) plotcomprising a mass loss of less than about 0.4% when heated from about25° C. to about 140° C. In still another embodiment, crystalline Form Ihas a TGA plot substantially as shown in FIG. 2.

In various embodiments, crystalline Form I has a gravimetric vaporsystem (GVS) plot. In some embodiments, crystalline Form I exhibit amass increase of about 1% when subjected to a an increase in relativehumidity from about 0% to about 95% relative humidity. In certainembodiments mass gained upon adsorption is lost when the relativehumidity (RH) is decreased back to about 0% RH. In yet anotherembodiment, crystalline Form I exhibit a gravimetric vapor system plotsubstantially as shown in FIG. 3. In still another embodiment,crystalline Form I is stable upon exposure to about 25° C. and about 60%relative humidity. In yet another embodiment, crystalline Form I isstable upon exposure to about 25° C. and about 60% relative humidity forabout 24 months. Also in another embodiment, crystalline Form I isstable upon exposure to about 25° C. and about 60% relative humidity forabout 3 months. In still another embodiment, crystalline Form I isstable upon exposure to about 25° C. and about 92% relative humidity. Inan another embodiment, crystalline Form I is stable upon exposure toabout 40° C. and about 75% relative humidity. In an another embodiment,crystalline Form I is stable upon exposure to about 40° C. and about 75%relative humidity for about 6 months. In an another embodiment,crystalline Form I is stable upon exposure to about 40° C. and about 75%relative humidity for about 3 months.

In certain embodiments, crystalline form of Formula I in Form I maycontain no less than about 95%, no less than about 97%, no less thanabout 98%, no less than about 99%, or no less than about 99.5% by weightof the salt of Formula I. The crystalline form may also contain no lessthan about 90%, no less than about 95%, no less than about 98%, no lessthan about 99%, or no less than 99.5% by weight of crystal Form I.

In certain embodiments, crystalline Form I has an aqueous solubility ofabout 17.58, about 18.58, about 19.58, about 26.75, about 26.87, about26.96, about 27.06, about 27.75, about 27.87, about 27.97, about 28.06,about 28.75, about 28.87, about 28.97, about 29.06, about 27.45, about28.45, about 29.45, about 30.61, about 31.61, about 32.61, about 32.17,about 32.98, about 33.17, about 33.98, about 34.17, about 34.35, about34.98, about 35.35, about 36.35 mg/mL. In certain embodiments,crystalline Form I has an aqueous solubility of about 31.61 and about33.17 at approximately pH 1.2; about 28.45 and about 27.97 atapproximately pH 3; about 28.06 and about 27.77 at approximately pH 4;about 18.58 and about 27.87 at approximately pH 5; about 33.98 and about35.35 at approximately pH 6.8.

In certain embodiments, crystalline Form I may contain no greater thanabout 0.1%, no greater than about 0.11%, no greater than about 0.12%, nogreater than about 0.13%, no greater than about 0.14%, no greater thanabout 0.15%, no greater than about 0.16%, no greater than about 0.17%,no greater than about 0.18%, no greater than about 0.19%, no greaterthan about 0.2%, no greater than about 0.21%, no greater than about0.22%, no greater than about 0.23%, no greater than about 0.24%, nogreater than about 0.25%, no greater than about 0.26%, no greater thanabout 0.27%, no greater than about 0.28%, no greater than about 0.29%,no greater than about 0.3%, no greater than about 0.31%, no greater thanabout 0.32%, no greater than about 0.33%, no greater than about 0.34%,no greater than about 0.35%, no greater than about 0.36%, no greaterthan about 0.37%, no greater than about 0.38%, no greater than about0.39%, no greater than about 0.4%, no greater than about 0.5%, nogreater than about 0.6%, no greater than about 0.7%, no greater thanabout 0.8%, no greater than about 0.9%, no greater than about 1%, nogreater than about 2%, no greater than about 3%, no greater than about4%, or no greater than about 5% water by weight.

In certain embodiments Form I may be characterized by particle analysis.In certain embodiments, a sample of Form I comprises particles havingrhomboid crystal morphology. In yet another embodiment, a sample of FormI comprises particles of about 100, about 90, about 80, about 70, about60, about 50, about 40, about 30, about 20, about 10, about 5 μM inlength. In some embodiments, a sample of Form I comprises particles ofabout 70, about 60, about 40, about 20, about 10 μM in length. In otherembodiments, a sample of Form I comprises particles of about 69.39,about 56.22, about 34.72, about 17.84, about 10.29 μM in length.

Valbenazine Ditosylate Form II

In another embodiment, is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof or solvate thereof; wherein the crystallineform is Form II.

In various embodiments, crystalline Form II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern. In some embodiments, the X-ray diffractionpattern of Form II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately5.7, 15.3, and 22.5°. In some embodiments, the X-ray powder diffractionpattern of Form II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately5.7, 15.3, or 22.5°. In other embodiments, the X-ray powder diffractionpattern of Form II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately5.7 and 15.3°. In some embodiments, the X-ray powder diffraction patternof Form II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately5.7°. In certain embodiments, crystalline Form II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern substantially as shown in FIG. 5.

In some embodiments, crystalline Form II has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 5.7 and15.3°. In certain embodiments, crystalline Form II has one or morecharacteristic XRP diffraction peaks at two-theta angles ofapproximately 5.7°, approximately 15.3°, and approximately 22.5°. Insome embodiments, crystalline Form II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 5.7°,approximately 14.2°, approximately 15.3°, and approximately 22.5°. Inother embodiments, crystalline Form II has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 5.7°,approximately 14.2°, approximately 15.3°, approximately 15.9°, andapproximately 22.5°. In yet other embodiments, crystalline Form II hasone or more characteristic XRP diffraction peaks at two-theta angles ofapproximately 5.7°, approximately 14.2°, approximately 15.3°,approximately 15.9°, approximately 18.6°, and approximately 22.5°.

In various embodiments, crystalline Form II has an endothermicdifferential scanning calorimetric (DSC) thermogram. In someembodiments, crystalline Form II has a DSC thermogram comprising anendothermic event with an onset temperature of about 143° C. and a peakat about 155° C.; and another endothermic event with an onsettemperature of about 232° C. and a peak at about 235° C.

In yet another embodiment, crystalline Form II has a DSC thermogramsubstantially as shown in FIG. 6. In yet another embodiment, crystallineForm II has a thermal gravimetric analysis (TGA) plot comprising a massloss of about 2.2% when heated from about 25° C. to about 140° C. Instill another embodiment, crystalline Form II has a TGA plotsubstantially as shown in FIG. 6.

In various embodiments, crystalline Form II has a gravimetric vaporsystem (GVS) plot. In some embodiments, crystalline Form II exhibit amass increase of about 0.5% when subjected to a an increase in relativehumidity from about 0% to about 95% relative humidity. In certainembodiments mass gained upon adsorption is lost when the relativehumidity (RH) is decreased back to about 0% RH. In yet anotherembodiment, crystalline Form II exhibit a gravimetric vapor system plotsubstantially as shown in FIG. 7. In certain embodiments, Form II issubstantially non-hygroscopic. In certain embodiments, the XRPD patternof Form II material is substantially unchanged following theadsorption/desorption analysis. In certain embodiments, Form II isstable with respect to humidity. In still another embodiment,crystalline Form II has aqueous solubility of about 18.5 mg/mL at pH5.1.

In certain embodiments Form II may be characterized by particleanalysis. In certain embodiments, a sample of Form II comprisesparticles having birefringent lath shaped morphology. In yet anotherembodiment, a sample of Form II comprises particles of about 100, about90, about 80, about 70, about 60, about 50, about 40, about 30, about20, about 10, about 5 μM in length. In some embodiments, a sample ofForm II comprises particles of about 100, about 70, about 60, about 40,about 20, about 10 μM in length. In yet another embodiment, a sample ofForm II comprises particles of about 100 μM in length.

In certain embodiments, crystalline form of Formula I in Form II maycontain no less than about 95%, no less than about 97%, no less thanabout 98%, no less than about 99%, or no less than about 99.5% by weightof the salt of Formula I. The crystalline form may also contain no lessthan about 90%, no less than about 95%, no less than about 98%, no lessthan about 99%, or no less than 99.5% by weight of crystal Form II.

Valbenazine Ditosylate Form III

In another embodiment, is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof or solvate thereof; wherein the crystallineform is Form III.

In various embodiments, crystalline Form III of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern. In some embodiments, the X-ray diffractionpattern of Form III of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.3, 18.3, 18.9, 19.8, and 20.4°. In another embodiment, the X-raydiffraction pattern of Form III of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.3, 18.3, 18.9, 19.8, or 20.4°. In some embodiments, the X-raydiffraction pattern of Form III of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.3, 18.3, and 19.8°. In yet other embodiments, the X-ray diffractionpattern of Form III of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.3°. In certain embodiments, crystalline Form III of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern substantially as shown in FIG. 8.

In some embodiments, crystalline Form III has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.3°, andapproximately 19.8°. In certain embodiments, crystalline Form III hasone or more characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.3°, approximately 18.3°, and approximately 19.8°. In yetother embodiments, crystalline Form III has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.3°,approximately 18.3°, approximately 19.8°, and approximately 20.4°. Insome embodiments, crystalline Form III has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.3°,approximately 18.3°, approximately 18.9°, approximately 19.8°, andapproximately 20.4°. In other embodiments, crystalline Form III has oneor more characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.3°, approximately 15.3°, approximately 18.3°,approximately 18.9°, approximately 19.8°, and approximately 20.4°. Insome embodiments, crystalline Form III has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.3°,approximately 15.3°, approximately 18.3°, approximately 18.9°,approximately 19.8°, approximately 20.4°, and approximately 24.1°.

In various embodiments, crystalline Form III has an endothermicdifferential scanning calorimetric (DSC) thermogram. In someembodiments, crystalline Form III has a DSC thermogram comprising anendothermic events with peak temperatures of about 93° C., 158° C., andabout 230° C.

In yet another embodiment, crystalline Form III has a DSC thermogramsubstantially as shown in FIG. 9. In yet another embodiment, crystallineForm III has a thermal gravimetric analysis (TGA) plot comprising twomass losses of about 2.7% and about 8.86% when heated from about 25° C.to about 140° C. In still another embodiment, crystalline Form III has aTGA plot substantially as shown in FIG. 9.

In certain embodiments Form III may be characterized by particleanalysis. In certain embodiments, a sample of Form III comprisesparticles having birefringent lath shaped morphology. In yet anotherembodiment, a sample of Form III comprises particles of about 100, about90, about 80, about 70, about 60, about 50, about 40, about 30, about20, about 10, about 5 μM in length. In some embodiments, a sample ofForm III comprises particles of about 100, about 70, about 60, about 40,about 20, about 10 μM in length.

In certain embodiments, crystalline form of Formula I in Form III maycontain no less than about 95%, no less than about 97%, no less thanabout 98%, no less than about 99%, or no less than about 99.5% by weightof the salt of Formula I. The crystalline form may also contain no lessthan about 90%, no less than about 95%, no less than about 98%, no lessthan about 99%, or no less than 99.5% by weight of crystal Form III.

Valbenazine Ditosylate Form IV

In another embodiment, is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof or solvate thereof; wherein the crystallineform is Form IV.

In various embodiments, crystalline Form IV of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern. In some embodiments, the X-ray diffractionpattern of Form IV of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.2, 10.4, 17.9, 19.2, 19.9, and 20.2°. In some embodiments, the X-raypowder diffraction pattern of Form IV of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.2, 10.4, 17.9, 19.2, 19.9, or 20.2°. In other embodiments, the X-raypowder diffraction pattern of Form IV of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.2° and approximately 20.2°. In some embodiments, the X-ray powderdiffraction pattern of Form IV of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.2°. In certain embodiments, crystalline Form IV of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern substantially as shown in FIG. 10.

In some embodiments, crystalline Form IV has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.2° andapproximately 20.2°. In certain embodiments, crystalline Form IV has oneor more characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.2°, approximately 10.4°, and approximately 20.2°. Inother embodiments, crystalline Form IV has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.2°,approximately 10.4°, approximately 17.9°, and approximately 20.2°. Insome embodiments, crystalline Form IV has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 6.2°,approximately 10.4°, approximately 17.9°, approximately 19.2°, andapproximately 20.2°. In yet other embodiments, crystalline Form IV hasone or more characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.2°, approximately 10.4°, approximately 17.9°,approximately 19.2°, approximately 19.9°, and approximately 20.2°.

In various embodiments, crystalline Form IV has an endothermicdifferential scanning calorimetric (DSC) thermogram. In someembodiments, crystalline Form IV has a DSC thermogram comprising anendothermic events with peak temperatures of about 128° C., 159° C., andabout 237° C.

In yet another embodiment, crystalline Form IV has a DSC thermogramsubstantially as shown in FIG. 11. In yet another embodiment,crystalline Form IV has a thermal gravimetric analysis (TGA) plotcomprising a mass loss of about 3.3% when heated from about 25° C. toabout 140° C. In still another embodiment, crystalline Form IV has a TGAplot substantially as shown in FIG. 11.

In various embodiments, crystalline Form IV has a gravimetric vaporsystem (GVS) plot. In some embodiments, crystalline Form IV exhibit amass increase of about 3.4% when subjected to a an increase in relativehumidity from about 0% to about 95% relative humidity. In someembodiments, crystalline Form IV exhibit a mass increase of about 1.6%when subjected to a an increase in relative humidity from about 40% toabout 95% relative humidity. In certain embodiments, mass gained uponadsorption is lost when the relative humidity (RH) is decreased back toabout 0% RH. In certain embodiments, 1.8% mass is lost when the relativehumidity is decreased between about 40 and 0% RH. In yet anotherembodiment, crystalline Form IV exhibit a gravimetric vapour system plotsubstantially as shown in FIG. 12. In certain embodiments, the XRPDpattern of Form IV material is substantially unchanged following theadsorption/desorption analysis. In certain embodiments, Form IV isstable with respect to humidity. In certain embodiments, Form IV issubstantially stable. In another embodiment, Form IV converts to Form Iupon exposure to a solvent system comprising, e.g., mixtures ofacetonitrile/water at 30° C. for about 2 days. In yet anotherembodiment, Form IV converts to Form I upon re-slurry of a sample ofForm IV at room temperature in acetonitrile. In yet another embodiment,Form IV converts to Form I upon heating at about 230° C.

In certain embodiments Form IV may be characterized by particleanalysis. In yet another embodiment, a sample of Form IV comprisesparticles of about 100, about 90, about 80, about 70, about 60, about50, about 40, about 30, about 20, about 10, about 5 μM in length. Insome embodiments, a sample of Form IV comprises particles of about 100,about 70, about 60, about 40, about 20, about 10 μM in length.

In certain embodiments, crystalline form of Formula I in Form IV maycontain no less than about 95%, no less than about 97%, no less thanabout 98%, no less than about 99%, or no less than about 99.5% by weightof the salt of Formula I. The crystalline form may also contain no lessthan about 90%, no less than about 95%, no less than about 98%, no lessthan about 99%, or no less than 99.5% by weight of crystal Form IV.

Valbenazine Ditosylate Form V

In another embodiment, is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof or solvate thereof; wherein the crystallineform is Form V.

In various embodiments, crystalline Form V of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern. In some embodiments, the X-ray diffractionpattern of Form V of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.7, 7.9, 10.7, 12.8, 17.1, and 23.7°. In some embodiments, the X-raypowder diffraction pattern of Form V of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.7, 7.9, 10.7, 12.8, 17.1, or 23.7°. In certain embodiments, the X-raypowder diffraction pattern of Form V of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.7° and 7.9°. In some embodiments, the X-ray powder diffraction patternof Form V of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.7°. In certain embodiments, crystalline Form V of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern substantially as shown in FIG. 13.

In some embodiments, crystalline Form V has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.7° andapproximately 7.9°. In certain embodiments, crystalline Form V has oneor more characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.7°, approximately 7.9°, and approximately 23.7°. In someembodiments, crystalline Form V has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 6.7°,approximately 7.9°, approximately 17.1°, and approximately 23.7°. In yetother embodiments, crystalline Form V has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 6.7°,approximately 7.9°, approximately 15.8°, approximately 17.1°, andapproximately 23.7°. In some embodiments, crystalline Form V has one ormore characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.7°, approximately 7.9°, approximately 15.8°,approximately 17.1°, approximately 21.5°, and approximately 23.7°. Incertain embodiments, crystalline Form V has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.7°,approximately 7.9°, approximately 15.8°, approximately 16.0°,approximately 17.1°, approximately 21.5°, and approximately 23.7°. Inother embodiments, crystalline Form V has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 6.7°,approximately 7.9°, approximately 10.7°, approximately 15.8°,approximately 16.0°, approximately 17.1°, approximately 21.5°, andapproximately 23.7°. In some embodiments, crystalline Form V has one ormore characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.7°, approximately 7.9°, approximately 10.7°,approximately 12.8°, approximately 15.8°, approximately 16.0°,approximately 17.1°, approximately 21.5°, and approximately 23.7°.

In various embodiments, crystalline Form V has an endothermicdifferential scanning calorimetric (DSC) thermogram. In someembodiments, crystalline Form V has a DSC thermogram comprising anendothermic events with peak temperatures of about 113° C., and about181° C.

In yet another embodiment, crystalline Form V has a DSC thermogramsubstantially as shown in FIG. 14. In yet another embodiment,crystalline Form V has a thermal gravimetric analysis (TGA) plotcomprising a mass loss of about 4.1% when heated from about 25° C. toabout 140° C. In still another embodiment, crystalline Form V has a TGAplot substantially as shown in FIG. 14.

In various embodiments, crystalline Form V has a gravimetric vaporsystem (GVS) plot. In some embodiments, crystalline Form V exhibit amass increase of about 1% when subjected to a an increase in relativehumidity from about 10% to about 95% relative humidity. In certainembodiments, mass gained upon adsorption is lost when the relativehumidity (RH) is decreased back to about 0% RH. In certain embodiments,1.2% mass is lost when the relative humidity is decreased between about20 and 0% RH. In yet another embodiment, crystalline Form V exhibit agravimetric vapor system plot substantially as shown in FIG. 15. Incertain embodiments, the XRPD pattern of Form V material issubstantially unchanged following the adsorption/desorption analysis. Incertain embodiments, Form V is substantially stable. In anotherembodiment, Form V converts to Form VI upon heating between about 110°C. and about 140° C.

In certain embodiments Form V may be characterized by particle analysis.In yet another embodiment, a sample of Form V comprises particles ofabout 100, about 90, about 80, about 70, about 60, about 50, about 40,about 30, about 20, about 10, about 5 μM in length. In some embodiments,a sample of Form V comprises particles of about 100, about 70, about 60,about 40, about 20, about 10 μM in length.

In certain embodiments, crystalline form of Formula I in Form V maycontain no less than about 95%, no less than about 97%, no less thanabout 98%, no less than about 99%, or no less than about 99.5% by weightof the salt of Formula I. The crystalline form may also contain no lessthan about 90%, no less than about 95%, no less than about 98%, no lessthan about 99%, or no less than 99.5% by weight of crystal Form V.

Valbenazine Ditosylate Form VI

In another embodiment, is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof or solvate thereof; wherein the crystallineform is Form VI.

In various embodiments, crystalline Form VI of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern. In some embodiments, the X-ray diffractionpattern of Form VI of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.8, 8.0, 16.3, and 17.5°. In some embodiments, the X-ray powderdiffraction pattern of Form VI of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.8, 8.0, 16.3, or 17.5°. In certain embodiments, the X-ray powderdiffraction pattern of Form VI of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.8° and 8.0°. In yet other embodiments, the X-ray powder diffractionpattern of Form VI of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I)includes an XRP diffraction peak at two-theta angles of approximately6.8°. In certain embodiments, crystalline Form VI of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) hasan X-ray diffraction pattern substantially as shown in FIG. 16.

In some embodiments, crystalline Form VI has one or more characteristicXRP diffraction peaks at two-theta angles of approximately 6.8° andapproximately 8.0°. In certain embodiments, crystalline Form VI has oneor more characteristic XRP diffraction peaks at two-theta angles ofapproximately 6.8°, approximately 5.4°, and approximately 8.0°. In otherembodiments, crystalline Form VI has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 6.8°,approximately 5.4°, and approximately 8.0°, and approximately 17.5°. Inyet other embodiments, crystalline Form VI has one or morecharacteristic XRP diffraction peaks at two-theta angles ofapproximately 6.8°, approximately 5.4°, and approximately 8.0°,approximately 16.3°, and approximately 17.5°. In yet other embodiments,crystalline Form VI has one or more characteristic XRP diffraction peaksat two-theta angles of approximately 6.8°, approximately 5.4°,approximately 8.0°, approximately 16.3°, approximately 17.5°, andapproximately 18.7°.

In various embodiments, crystalline Form VI has an endothermicdifferential scanning calorimetric (DSC) thermogram. In someembodiments, crystalline Form VI has a DSC thermogram comprising anendothermic events with peak temperatures of about 175° C., and about238° C.

In yet another embodiment, crystalline Form VI has a DSC thermogramsubstantially as shown in FIG. 17. In yet another embodiment,crystalline Form VI has a thermal gravimetric analysis (TGA) plotcomprising a mass loss of about 1% when heated from about 25° C. toabout 140° C. In still another embodiment, crystalline Form V has a TGAplot substantially as shown in FIG. 17.

In various embodiments, crystalline Form VI has a gravimetric vaporsystem (GVS) plot. In some embodiments, crystalline Form VI exhibit amass increase of about 3.1% when subjected to a an increase in relativehumidity from about 0% to about 90% relative humidity. In someembodiments, crystalline Form VI exhibit a mass increase of about 0.5%when subjected to a an increase in relative humidity from about 40% toabout 80% relative humidity. In some embodiments, crystalline Form VIexhibit a mass increase of about 3.1% when subjected to a an increase inrelative humidity from about 80% to about 90% relative humidity. Incertain embodiments, mass gained upon adsorption is not lost when therelative humidity (RH) is decreased back to about 0% RH. In certainembodiments, 1.2% mass is lost when the relative humidity is decreasedbetween about 90% and 15% RH. In certain embodiments, 2.0% mass is lostwhen the relative humidity is decreased between about 15% and 0% RH. Inyet another embodiment, crystalline Form VI exhibit a gravimetric vaporsystem plot substantially as shown in FIG. 18. In certain embodiments,the XRPD pattern of Form VI material is substantially changed followingthe adsorption/desorption analysis. In another embodiment, Form VIconverts to Form V upon exposure to gravimetric vapour sorptionanalysis.

In certain embodiments Form VI may be characterized by particleanalysis. In yet another embodiment, a sample of Form VI comprisesparticles of about 100, about 90, about 80, about 70, about 60, about50, about 40, about 30, about 20, about 10, about 5 μM in length. Insome embodiments, a sample of Form VI comprises particles of about 100,about 70, about 60, about 40, about 20, about 10 μM in length.

In certain embodiments, crystalline form of Formula I in Form VI maycontain no less than about 95%, no less than about 97%, no less thanabout 98%, no less than about 99%, or no less than about 99.5% by weightof the salt of Formula I. The crystalline form may also contain no lessthan about 90%, no less than about 95%, no less than about 98%, no lessthan about 99%, or no less than 99.5% by weight of crystal Form VI.

In yet another embodiment, the crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) or anisotopic variant thereof, or solvate thereof is amorphous. The amorphousforms have an X-ray powder diffraction pattern substantially as shown inFIG. 19, which lacks the characteristic XRP diffraction peaks for theparticulates of Form I and/or Form II, through Form VI. In oneembodiment, the amorphous form of Formula I may contain no less thanabout 95%, no less than about 97%, no less than about 98%, no less thanabout 99%, or no less than about 99.5% by weight of the acid of FormulaI. The amorphous form may also contain no less than about 90%, no lessthan about 95%, no less than about 98%, no less than about 99%, or noless than 99.5% by weight of amorphous form of Formula I.

Valbenazine Dihydrochloride

Provided herein is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride or an isotopic variant thereofor solvate thereof of Formula II:

Valbenazine Dihydrochloride Form I

In another embodiment, is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) or an isotopicvariant thereof or solvate thereof; wherein the crystalline form is FormI.

In various embodiments, crystalline Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) has an X-raydiffraction pattern. In some embodiments, the X-ray diffraction patternof Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) includes an XRPdiffraction peak at two-theta angles of approximately 7.2, 9.2, and18.0°. In some embodiments, the X-ray powder diffraction pattern of FormI of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) includes an XRPdiffraction peak at two-theta angles of approximately 7.2, 9.2, or18.0°. In certain embodiments, the X-ray powder diffraction pattern ofForm I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) includes an XRPdiffraction peak at two-theta angles of approximately 7.2 and 9.2°. Inyet other embodiments, the X-ray powder diffraction pattern of Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) includes an XRPdiffraction peak at two-theta angles of approximately 7.2°. In certainembodiments, crystalline Form I of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) has an X-raydiffraction pattern substantially as shown in FIG. 20.

In some embodiments, crystalline Form I of Formula II has one or morecharacteristic XRP diffraction peaks at two-theta angles ofapproximately 7.2° and approximately 9.2°. In certain embodiments,crystalline Form I of Formula II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 7.2°,approximately 9.2° and approximately 18.0°. In some embodiments,crystalline Form I of Formula II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 7.2°,approximately 9.2°, approximately 18.0°, and approximately 20.8°. In yetother embodiments, crystalline Form I of Formula II has one or morecharacteristic XRP diffraction peaks at two-theta angles ofapproximately 7.2°, approximately 9.2°, approximately 18.0°,approximately 20.8°, and approximately 25.9°. In certain embodiments,crystalline Form I of Formula II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 7.2°,approximately 9.2°, approximately 18.0°, approximately 20.8°,approximately 22.5°, and approximately 25.9°. In some embodiments,crystalline Form I of Formula II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 7.2°,approximately 9.2°, approximately 12.7°, approximately 18.0°,approximately 20.8°, approximately 22.5°, and approximately 25.9°. Inyet other embodiments, crystalline Form I of Formula II has one or morecharacteristic XRP diffraction peaks at two-theta angles ofapproximately 7.2°, approximately 9.2°, approximately 12.7°,approximately 18.0°, approximately 20.8°, approximately 22.5°,approximately 24.0°, and approximately 25.9°.

In various embodiments, crystalline Form I of Formula II has anendothermic differential scanning calorimetric (DSC) thermogram. In someembodiments, crystalline Form I has a DSC thermogram comprising anendothermic event with onset temperature of about 240° C. and a peak atabout 250° C.

In yet another embodiment, crystalline Form I of Formula II has a DSCthermogram substantially as shown in FIG. 21. In yet another embodiment,crystalline Form I of Formula II has a thermal gravimetric analysis(TGA) plot substantially as shown in FIG. 21.

In various embodiments, crystalline Form I of Formula II has agravimetric vapor system (GVS) plot. In some embodiments, crystallineForm I exhibit a mass increase of about 14% when subjected to a anincrease in relative humidity from about 0% to about 90% relativehumidity. In yet another embodiment, crystalline Form I of Formula IIexhibit a gravimetric vapour system plot substantially as shown in FIG.22. In certain embodiments, the XRPD pattern of Form I of Formula II issubstantially changed following the adsorption/desorption analysis. Inanother embodiment, Form I of Formula II converts to Form II uponstorage at about 25° C. and about 92% relative humidity for about 7days. In another embodiment, Form I of Formula II converts to Form IIupon storage at about 40° C. and about 75% relative humidity for about 7days. In still another embodiment, crystalline Form I of Formula II hasaqueous solubility above 90 mg/mL at pH 4.1.

In certain embodiments Form I of Formula II may be characterized byparticle analysis. In certain embodiments, a sample of Form II comprisesparticles having birefringent lath shaped morphology. In yet anotherembodiment, a sample of Form I of Formula II comprises particles ofabout 100, about 90, about 80, about 70, about 60, about 50, about 40,about 30, about 20, about 10, about 5 μM in length. In some embodiments,a sample of Form I of Formula II comprises particles of about 100, about70, about 60, about 40, about 20, about 10 μM in length. In yet anotherembodiment, a sample of Form I of Formula II comprises particles ofabout 150 μM in length.

In certain embodiments, crystalline form of Formula II in Form I maycontain no less than about 95%, no less than about 97%, no less thanabout 98%, no less than about 99%, or no less than about 99.5% by weightof the salt of Formula II. The crystalline form may also contain no lessthan about 90%, no less than about 95%, no less than about 98%, no lessthan about 99%, or no less than 99.5% by weight of crystal Form I.

Valbenazine Dihydrochloride Form II

In another embodiment, is a crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) or an isotopicvariant thereof or solvate thereof; wherein the crystalline form is FormII.

In various embodiments, crystalline Form II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) has an X-raydiffraction pattern. In some embodiments, the X-ray diffraction patternof Form II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) includes an XRPdiffraction peak at two-theta angles of approximately 4.8, 13.3, and24.9°. In some embodiments, the X-ray powder diffraction pattern of FormII of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) includes an XRPdiffraction peak at two-theta angles of approximately 4.8, 13.3 or24.9°. In certain embodiments, the X-ray powder diffraction pattern ofForm II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) includes an XRPdiffraction peak at two-theta angles of approximately 4.8°. In certainembodiments, crystalline Form II of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) has an X-raydiffraction pattern substantially as shown in FIG. 23.

In some embodiments, crystalline Form II of Formula II has one or morecharacteristic XRP diffraction peaks at two-theta angles ofapproximately 4.8° and approximately 24.9°. In certain embodiments,crystalline Form II of Formula II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 4.8°,approximately 13.3°, and approximately 24.9°. In some embodiments,crystalline Form II of Formula II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 4.8°,approximately 13.3°, approximately 14.1°, and approximately 24.9°. Inyet other embodiments, crystalline Form II of Formula II has one or morecharacteristic XRP diffraction peaks at two-theta angles ofapproximately 4.3°, approximately 4.8°, approximately 13.3°,approximately 14.1°, and approximately 24.9°. In some embodiments,crystalline Form II of Formula II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 4.3°,approximately 4.8°, approximately 13.3°, approximately 14.1°,approximately 18.4°, and approximately 24.9°. In other embodiments,crystalline Form II of Formula II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 4.3°,approximately 4.8°, approximately 8.7°, approximately 13.3°,approximately 14.1°, approximately 18.4°, and approximately 24.9°. Inother embodiments, crystalline Form II of Formula II has one or morecharacteristic XRP diffraction peaks at two-theta angles ofapproximately 4.3°, approximately 4.8°, approximately 8.4°,approximately 8.7°, approximately 13.3°, approximately 14.1°,approximately 18.4°, and approximately 24.9°. In yet other embodiments,crystalline Form II of Formula II has one or more characteristic XRPdiffraction peaks at two-theta angles of approximately 4.3°,approximately 4.8°, approximately 8.4°, approximately 8.7°,approximately 13.3°, approximately 14.1°, approximately 14.6°,approximately 18.4°, and approximately 24.9°.

In various embodiments, crystalline Form II of Formula II has anendothermic differential scanning calorimetric (DSC) thermogram. In someembodiments, crystalline Form II has a DSC thermogram comprising anendothermic event with onset temperature of about 80° C. and a peak atabout 106° C.

In yet another embodiment, crystalline Form II of Formula II has a DSCthermogram substantially as shown in FIG. 24. In yet another embodiment,crystalline Form II of Formula II has a thermal gravimetric analysis(TGA) plot comprising a mass loss of about 10% when heated from about25° C. to about 100° C. In still another embodiment, crystalline Form IIof Formula II has a TGA plot substantially as shown in FIG. 24.

In various embodiments, crystalline Form II of Formula II has agravimetric vapor system (GVS) plot. In some embodiments, crystallineForm II exhibit a mass loss of about 12% when subjected to a decrease inrelative humidity from about 75% to about 0% relative humidity. In yetanother embodiment, crystalline Form II of Formula II exhibit agravimetric vapour system plot substantially as shown in FIG. 25. Incertain embodiments, Form II is substantially stable. In anotherembodiment, Form II converts to Form I upon heating. In yet anotherembodiment For II of Formula II converts to amorphous material uponheating at temperatures above about 160° C. In still another embodiment,crystalline Form II of Formula II has aqueous solubility above 67 mg/mLat pH 4.1.

In certain embodiments Form II of Formula II may be characterized byparticle analysis. In yet another embodiment, a sample of Form II ofFormula II comprises particles of about 100, about 90, about 80, about70, about 60, about 50, about 40, about 30, about 20, about 10, about 5μM in length. In some embodiments, a sample of Form II of Formula IIcomprises particles of about 100, about 70, about 60, about 40, about20, about 10 μM in length.

In certain embodiments, crystalline form of Formula II in Form II maycontain no less than about 95%, no less than about 97%, no less thanabout 98%, no less than about 99%, or no less than about 99.5% by weightof the salt of Formula II. The crystalline form may also contain no lessthan about 90%, no less than about 95%, no less than about 98%, no lessthan about 99%, or no less than 99.5% by weight of crystal Form II.

In yet another embodiment, the crystalline form of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) or an isotopicvariant thereof, or solvate thereof is amorphous. The amorphous formshave an X-ray powder diffraction pattern substantially as shown in FIG.26, which lacks the characteristic XRP diffraction peaks for theparticulates of Form I and/or Form II of Formula II. In one embodiment,the amorphous form of Formula II may contain no less than about 95%, noless than about 97%, no less than about 98%, no less than about 99%, orno less than about 99.5% by weight of the salt of Formula II. Theamorphous form may also contain no less than about 90%, no less thanabout 95%, no less than about 98%, no less than about 99%, or no lessthan 99.5% by weight of amorphous form of Formula II.

It should be understood that the numerical values of the peaks of theX-ray powder diffraction patterns may vary slightly from one machine toanother or from one sample to another, and so the values quoted are notto be construed as absolute, but with an allowable variability, such as0.2°, as defined herein.

Process of Preparation

Also provided are processes for preparing the salts of Formula I and/orFormula II in an amorphous form, or crystalline form. The processescomprise the step of contacting the salt of Formula I and/or Formula IIwith a solvent, in which the particulates of the salt of Formula Iand/or Formula II in an amorphous form, or crystalline form (e.g., FormI, II, III, IV, V, or VI) of Formula I and/or Formula II, may be formedfrom a solution or converted from one solid form to another. The processmay further comprise an isolation step, in which the compounds may beisolated by a conventional method, such as filtration andcentrifugation, followed by washing with a solvent and then drying(e.g., vacuum oven drying, air drying, or desiccator drying).

Suitable solvents for use in preparing the compounds in an amorphousform, or crystalline form, include but are not limited to, hydrocarbons,including petroleum ether, pentane, hexane(s), heptane, octane,isooctane, cyclopentane, cyclohexane, methylcyclohexane, benzene,toluene, xylene, tetralin, and cumene; chlorinated hydrocarbons,including dichloromethane (DCM), 1,2-dichloroethane, 1,1-dichloroethene,1,2-dichloroethene, chloroform, trichloroethane, trichloroethene, carbontetrachloride, chlorobenzene, and trifluoromethylbenzene; alcohols,including methanol, ethanol, isopropanol (IPA), 1-propanol, 1-butanol,2-butanol, t-butanol, 3-methyl-1-butanol, 1-pentanol, 2-methoxyethanol,2-ethoxyethanol, and ethyleneglycol; ethers, including diethyl ether,diisopropyl ether, methyl t-butyl ether (MTBE), diphenyl ether,1,2-dimethoxyethane, bi(2-methoxyethyl)ether, 1,1-dimethoxymethane,2,2-dimethoxypropane, and anisole; ketones, including acetone, butanone,methyl ethyl ketone (MEK), methyl isopropyl ketone, methyl butyl ketone,and methyl isobutyl ketone (MIBK); esters, including methyl acetate,ethyl formate, ethyl acetate, propyl acetate, isopropyl acetate,isobutyl acetate, and butyl acetate; carbonates, including ethylenecarbonate and propylene carbonate; amides, including formamide,N,N-dimethylformamide (DMF), and N,N-dimethylacetamide; nitriles,including acetonitrile (ACN); sulfoxides, such as dimethyl sulfoxide(DMSO); sulfones, such sulfolane; nitro compounds, such as nitromethaneand nitrobenzene; heterocycles, such as N-methyl pyrrolindone, 2-methyltetrahydrofuran, tetrahydrofuran (THF), dioxane, and pyridine;carboxylic acids, such as acetic acid, trichloroacetic acid, andtrifluoroacetic acid; phosphoramides, such as hexamethylphosphoramide;carbon sulfide; water; and mixtures thereof.

The compounds of the salt of Formula I and/or Formula II in crystallineform can be prepared from a solution or slurry of the salt of Formula Iand/or Formula II in a solvent using conventional methods, including,but not limited to cooling, chilling, solvent evaporation, or additionof an anti-solvent.

In one embodiment, the process for preparing a crystalline form of thesalt of Formula I and/or Formula II comprises the steps of (a) preparinga solution of the acid of Formula I and/or Formula II in a solvent at afirst temperature; and (b) generating the crystalline compound at asecond temperature. To accelerate the formation of the crystallinematerial of Formula I and/or Formula II, the process may also comprise aseeding step by seeding the solution with crystals of Form I, prior toor during step (b). The process may further comprise an isolation stepas described herein.

The solution can be prepared from any forms of the salt of Formula Iand/or Formula II, including, but not limited to, oil, semisolids,solids (such as an amorphous form, or Form I, II, III, IV, V, or VI ofFormula I and/or Formula II), or mixtures thereof. The solution of step(a) may be prepared as a saturated or nearly saturated solution at thefirst temperature. The saturated or nearly saturated solution can beprepared by dissolving a sufficient amount of the salt of Formula I/andor Formula II in the solvent at a temperature that is higher than thefirst temperature, such that, when the solution is allowed to cool tothe first temperature, a saturated or nearly saturated solution isobtained. The sufficient amount of the salt of Formula I/and or FormulaII can be estimated based on the solubility of the compounds of Formulahand or Formula II in the solvent at the first temperature, which can bedetermined using a method known to a person skilled in the art.

The first temperature may range from room temperature to about theboiling point of the solvent, e.g., from about 20 to about 200° C., fromabout 20 to about 150° C., or from about 20 to about 100° C. The secondtemperature may range from −100 to 100° C., from about −50 to about 50°C., from about −10 to about 30° C., 20 to about 200° C., from about 20to about 150° C., or from about 20 to about 100° C. The firsttemperature may be higher or lower than, or the same as the secondtemperature. To maximize the yield and the efficiency of the process,the second temperature is normally set to be lower than the firsttemperature.

In one embodiment, the crystalline compounds of Formula I and/or FormulaII are formed by heating the solvent from the solution at the secondtemperature. The solvent evaporation can be facilitated by applying heatand/or vacuum to the solution. In one embodiment, the solvent isacetonitrile, dichloromethane, DMF, 1,4-dioxane, methanol,2-methoxyethanol, MIBK, acetone, 1-butanol, MTBE, DMSO, ethanol, ethylacetate, isobutyl acetate, isopropyl acetate, 1-propanol, IPA, MEK, THF,water, or a mixture thereof.

In another embodiment, the crystalline compounds of Formula I and/orFormula II are formed by cooling the solution to the second temperature.In this case, the second temperature is set to be lower than the firsttemperature. In one embodiment, the solvent is acetonitrile, DMF,1,4-dioxane, methanol, ethanol, 2-methoxyethanol, 1-butanol, 1-propanol,IPA, MIBK, MEK, THF, acetone, or a mixture thereof. In one embodiment,the solvent is acetonitrile, water, 1-propanol and mixtures thereof. Inyet another embodiment, the solvent is acetonitrile, water and mixturesthereof. In another embodiment, the solvent is 1-propanol, water andmixtures thereof. In another embodiment, the solvent is 1-propanol.

In one embodiment, Form I of Formula I is formed by cooling the solutionto the second temperature. In this case, the second temperature is setto be lower than the first temperature. In one embodiment, the solventis acetonitrile/water (1% v/v), acetonitrile/water (2% v/v),acetonitrile/water (3% v/v). In one embodiment, the solvent isacetonitrile/water (3% v/v).

In yet another embodiment, the crystalline compounds of Formula I and/orFormula II are formed by adding an anti-solvent to the solution at asecond temperature.

Suitable anti-solvents include, but are not limited to, hydrocarbons,including petroleum ether, pentane, hexane(s), heptane, octane,isooctane, cyclopentane, cyclohexane, methylcyclohexane, benzene,toluene, xylene, tetralin, and cumene; chlorinated hydrocarbons,including dichloromethane (DCM), 1,2-dichloroethane, 1,1-dichloroethene,1,2-dichloroethene, chloroform, trichloroethane, trichloroethene, carbontetrachloride, chlorobenzene, and trifluoromethylbenzene; alcohols,including methanol, ethanol, isopropanol (IPA), 1-propanol, 1-butanol,2-butanol, t-butanol, 3-methyl-1-butanol, 1-pentanol, 2-methoxyethanol,2-ethoxyethanol, and ethyleneglycol; ethers, including diethyl ether,diisopropyl ether, methyl t-butyl ether (MTBE), diphenyl ether,1,2-dimethoxyethane, bi(2-methoxyethyl)ether, 1,1-dimethoxymethane,2,2-dimethoxypropane, and anisole; ketones, including acetone, butanone,methyl ethyl ketone (MEK), methyl isopropyl ketone, methyl butyl ketone,and methyl isobutyl ketone (MIBK); esters, including methyl acetate,ethyl formate, ethyl acetate, propyl acetate, isopropyl acetate,isobutyl acetate, and butyl acetate; carbonates, including ethylenecarbonate and propylene carbonate; amides, including formamide,N,N-dimethylformamide (DMF), and N,N-dimethylacetamide; nitriles,including acetonitrile (ACN); sulfoxides, such as dimethyl sulfoxide(DMSO); sulfones, such sulfolane; nitro compounds, such as nitromethaneand nitrobenzene; heterocycles, such as N-methyl pyrrolindone, 2-methyltetrahydrofuran, tetrahydrofuran (THF), dioxane, and pyridine;carboxylic acids, such as acetic acid, trichloroacetic acid, andtrifluoroacetic acid; phosphoramides, such as hexamethylphosphoramide;carbon sulfide; water; and mixtures thereof.

When two solvents are used as a solvent/anti-solvent pair, the compoundof Formula I and/or Formula II has a higher solubility in the solventthan in the anti-solvent. Optionally, the solvent and the anti-solventin a solvent/anti-solvent pair are at least partially miscible. In oneembodiment, the solvent is acetonitrile, methanol, ethanol, 1-propanol,water, or a mixture thereof; and the anti-solvent is hexane(s),heptanes, diethyl ether, ethyl acetate, THF, isopropanol, and mixturesthereof. In yet another embodiment, the crystalline compounds of FormulaI and/or Formula II are formed by adding the solution to an anti-solventat the second temperature. In one embodiment, the solvent isacetonitrile, methanol, ethanol, 1-propanol, water, or a mixturethereof; and the anti-solvent is hexane(s), heptanes, diethyl ether,ethyl acetate, THF, isopropanol, and mixtures thereof.

In another embodiment, the process for preparing the crystallinecompounds of Formula I and/or Formula II comprises the steps of (a)preparing a slurry of the compound of Formula I and/or Formula II in asolvent at a first temperature; and (b) generating the crystallinecompounds of Formula I and/or Formula II by exposing the slurry to asecond temperature. The slurry can be prepared from any forms of thecompounds of Formula I and/or Formula II, including, but not limited to,oil, semisolids, solids (such as an amorphous form, or Form I, II, III,IV, V, or VI of Formula I and/or Formula II), or mixtures thereof. Theprocess may further comprise a seeding step and/or an isolation step, asdescribed herein.

The first and second temperatures and the solvent are as defined herein.In one embodiment, the solvent is acetonitrile, methanol, ethanol,1-propanol, water, or a mixture thereof.

In yet another embodiment, the process for preparing the crystallinecompounds of Formula I and/or Formula II comprises the steps of (a)preparing a solution of the compounds of Formula I and/or Formula II ina solvent at a first temperature; (b) forming a slurring by cooling thesolution to a second temperature; and (c) generating the crystallinecompounds of Formula I and/or Formula II by exposing the slurry to oneor more heating and cooling cycles. The process may further comprise aseeding step and/or an isolation step, as described herein.

The first and second temperatures and the solvent are as defined herein.In one embodiment, the solvent is acetonitrile, methanol, ethanol,1-propanol, 1,4-dioxane, water, or a mixture thereof. In one embodiment,the solvent is water. The heating and cooling cycle may be performed ina temperature range between about −50 to about 120° C., about −50 toabout 100° C., about −20 to about 80° C., about 0 to about 80° C., about10 to about 80° C., about 20 to about 80° C., about 20 to about 60° C.,or about 20 to about 50° C.

In one embodiment, Form II of Formula I can be prepared from a solutionor slurry of the compound of Formula I in a solvent using conventionalmethods, including, but not limited to, cooling, chilling, solventevaporation, or addition of an anti-solvent.

In one embodiment, the process for preparing the Form II of Formula Icomprises the steps of (a) preparing a slurry of compound of Formula Iin a solvent at a first temperature; and (b) generating the crystallineForm II at a second temperature. To accelerate the formation of theparticulates of Form II, the process may also comprise a seeding step byseeding the solution with crystals of Form II, prior to or during step(b). The process may further comprise an isolation step as describedherein.

The solution can be prepared from any forms of the compound of FormulaI, including, but not limited to, oil, semisolids, solids (such as anamorphous form, or Form I, II, III, IV, V, or VI of Formula I), ormixtures thereof. The solution of step (a) may be prepared as asaturated or nearly saturated solution at the first temperature. Thesaturated or nearly saturated solution may be prepared by dissolving asufficient amount of the compound of Formula I in the solvent at atemperature that is higher than the first temperature, such that, whenthe solution is allowed to cool to the first temperature, a saturated ornearly saturated solution is obtained. The sufficient amount of thecompound of Formula I can be estimated based on the solubility of theparticulates of Form II in the solvent at the first temperature, whichcan be determined using a method known to a person skilled in the art.In one embodiment, the solvent is acetonitrile, water, and a mixturethereof. In one embodiment, the solvent is water.

In one embodiment, Form III of Formula I can be prepared from a solutionor slurry of the compound of Formula I in a solvent using conventionalmethods, including, but not limited to, cooling, chilling, solventevaporation, or addition of an anti-solvent.

In yet another embodiment, the process for preparing crystalline FormIII of Formula I comprises the steps of (a) preparing a solution of thecompound of Formula I in a solvent at a first temperature; (b) forming aslurring by cooling the solution to a second temperature; and (c)generating crystalline Form III of Formula I by exposing the slurry toone or more heating and cooling cycles. The process may further comprisea seeding step and/or an isolation step, as described herein.

The first and second temperatures and the solvent are as defined herein.In one embodiment, the solvent is acetonitrile, methanol, ethanol,1-propanol, 1,4-dioxane, water, or a mixture thereof. In one embodiment,the solvent is 1,4-dioxane/water. In one embodiment, the solvent iswater. The heating and cooling cycle may be performed in a temperaturerange between about −50 to about 120° C., about −50 to about 100° C.,about −20 to about 80° C., about 0 to about 80° C., about 10 to about80° C., about 20 to about 80° C., about 20 to about 60° C., or about 20to about 50° C.

In one embodiment, Form IV of Formula I can be prepared from a solutionor slurry of the compound of Formula I in a solvent using conventionalmethods, including, but not limited to, cooling, chilling, solventevaporation, or addition of an anti-solvent.

In one embodiment, the process for preparing crystalline Form IV ofFormula I comprises the steps of (a) preparing a solution of thecompound of Formula I in a solvent at a first temperature; and (b)generating the crystalline compound at a second temperature. Toaccelerate the formation of the crystalline material of Formula I, theprocess may also comprise a seeding step by seeding the solution withcrystals of Form IV, prior to or during step (b). The process mayfurther comprise an isolation step as described herein.

The solution can be prepared from any forms of the salt of Formula Iand/or Formula II, including, but not limited to, oil, semisolids,solids (such as an amorphous form, or Form I, II, III, IV, V, or VI ofFormula I and/or Formula II), or mixtures thereof. The solution of step(a) may be prepared as a saturated or nearly saturated solution at thefirst temperature. The saturated or nearly saturated solution can beprepared by dissolving a sufficient amount of the salt of Formula I/andor Formula II in the solvent at a temperature that is higher than thefirst temperature, such that, when the solution is allowed to cool tothe first temperature, a saturated or nearly saturated solution isobtained. The sufficient amount of the salt of Formula I/and or FormulaII can be estimated based on the solubility of the compounds of FormI/and or Formula II in the solvent at the first temperature, which canbe determined using a method known to a person skilled in the art.

The first temperature may range from room temperature to about theboiling point of the solvent, e.g., from about 20 to about 200° C., fromabout 20 to about 150° C., or from about 20 to about 100° C. The secondtemperature may range from −100 to 100° C., from about −50 to about 50°C., from about −10 to about 30° C., 20 to about 200° C., from about 20to about 150° C., or from about 20 to about 100° C. The firsttemperature may be higher or lower than, or the same as the secondtemperature. To maximize the yield and the efficiency of the process,the second temperature is normally set to be lower than the firsttemperature.

In one embodiment, Form IV of Formula I is formed by cooling thesolution to the second temperature. In this case, the second temperatureis set to be lower than the first temperature. In one embodiment, thesolvent is acetonitrile/water. In one embodiment, the solvent isacetonitrile/water (4% v/v). In one embodiment, the solvent isacetonitrile/water (10% v/v).

In one embodiment, Form V of Formula I can be prepared from a solutionor slurry of the compound of Formula I in a solvent using conventionalmethods, including, but not limited to, cooling, chilling, solventevaporation, or addition of an anti-solvent.

In one embodiment, the process for preparing the Form V of Formula Icomprises the steps of (a) preparing a slurry of compound of Formula Iin a solvent at a first temperature; and (b) generating the crystallineForm V at the first temperature. To accelerate the formation of theparticulates of Form V, the process may also comprise a seeding step byseeding the solution with crystals of Form V, prior to or during step(b). The process may further comprise an isolation step as describedherein.

The slurry can be prepared from any forms of the compound of Formula I,including, but not limited to, oil, semisolids, solids (such as anamorphous form, or Form I, II, III, IV, V, or VI of Formula I), ormixtures thereof. The solution of step (a) may be prepared as asaturated or nearly saturated solution at the first temperature. Thesaturated or nearly saturated solution may be prepared by dissolving asufficient amount of the compound of Formula I in the solvent at atemperature that is higher than the first temperature, such that, whenthe solution is allowed to cool to the first temperature, a saturated ornearly saturated solution is obtained. The sufficient amount of thecompound of Formula I can be estimated based on the solubility of theparticulates of Form V in the solvent at the first temperature, whichcan be determined using a method known to a person skilled in the art.In one embodiment, the solvent is acetontrile, water, and a mixturethereof. In one embodiment, the solvent is water.

In one embodiment, Form VI of Formula I can be prepared from a solutionor slurry of the compound of Formula I in a solvent using conventionalmethods, including, but not limited to, cooling, chilling, solventevaporation, or addition of an anti-solvent.

In one embodiment, the process for preparing the Form VI of Formula Icomprises the steps of (a) preparing a slurry of compound of Formula Iin a solvent at a first temperature; and (b) generating the crystallineForm VI at the first temperature. To accelerate the formation of theparticulates of Form VI, the process may also comprise a seeding step byseeding the solution with crystals of Form VI, prior to or during step(b). The process may further comprise an isolation step as describedherein.

The slurry can be prepared from any forms of the compound of Formula I,including, but not limited to, oil, semisolids, solids (such as anamorphous form, or Form I, II, III, IV, V, or VI of Formula I), ormixtures thereof. The solution of step (a) may be prepared as asaturated or nearly saturated solution at the first temperature. Thesaturated or nearly saturated solution may be prepared by dissolving asufficient amount of the compound of Formula I in the solvent at atemperature that is higher than the first temperature, such that, whenthe solution is allowed to cool to the first temperature, a saturated ornearly saturated solution is obtained. The sufficient amount of thecompound of Formula I can be estimated based on the solubility of theparticulates of Form VI in the solvent at the first temperature, whichcan be determined using a method known to a person skilled in the art.In one embodiment, the solvent is acetonitrile, water, and a mixturethereof. In one embodiment, the solvent is water.

The amorphous compounds of Formula I and/or Formula II can be preparedfrom a solution or slurry of the compound of Formula I in a solventusing conventional methods, including, but not limited to, cooling,chilling, solvent evaporation, or addition of an anti-solvent.

In one embodiment, the process for preparing the amorphous compounds ofFormula I and/or Formula II comprises the steps of (a) preparing asolution of the compound of Formula I and/or Formula II in a solvent ata first temperature; (b) cooling the solution to a second temperature;and (c) generating the amorphous compounds at the second temperature.The process may also comprise an isolation step as described herein.

The solution can be prepared from any forms of the compound of Formula Iand/or Formula II, including, but not limited to, oil, semisolids,solids (such as an amorphous form, or Form I, II, III, IV, V, or VI), ormixtures thereof. The solution of step (a) may be prepared as asaturated or nearly saturated solution at the first temperature. Thesaturated or nearly saturated solution may be prepared by dissolving asufficient amount of the compound of Formula I and/or Formula II in thesolvent at a temperature that is higher than the first temperature, suchthat, when the solution is allowed to cool to the first temperature, asaturated or nearly saturated solution is obtained. The sufficientamount of the compound of Formula I and/or Formula II can be estimatedbased on the solubility of the amorphous compounds in the solvent at thefirst temperature, which can be determined using a method known to aperson skilled in the art.

In another embodiment, the amorphous compounds are formed by cooling thesolution to the second temperature. In one embodiment, the solvent is analcohol, water, or a mixture thereof. In one embodiment, the solvent istert-butyl alcohol, water, or a mixture thereof.

In yet another embodiment, the amorphous compounds are formed by addingthe solution to an anti-solvent at a second temperature. Theanti-solvents are as defined herein.

In yet another embodiment, the process for preparing the amorphouscompounds of the compound of Formula I and/or Formula II comprises thesteps of (a) preparing a slurry of the compound of Formula I in asolvent at a first temperature; and (b) generating the amorphousparticulates through phase conversion at a second temperature. Theslurry can be prepared from any forms of the compound of Formula Iand/or Formula II, including, but not limited to, oil, semisolids,solids (such as an amorphous form, or Form I, II, III, IV, V, or VI), ormixtures thereof. The first and second temperatures and the solvent areas defined herein.

Other forming methods may also be applicable for preparing the compoundof Formula I and/or Formula II in an amorphous form, or crystalline FormI, II, III, IV, V, or VI of Formula I and/or crystalline Form I, or IIof Formula II, including spray drying, roller drying, lyophilization,and melt crystallization.

Pharmaceutical Compositions

Also provided herein is a pharmaceutical composition comprising(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) in aan amorphous form, or crystalline Form I, II, III, IV, V, or VI, or aacceptable hydrate or solvate thereof, as an active pharmaceuticalingredient, in combination with one or more pharmaceutically acceptablecarriers or excipients.

Also provided herein is a pharmaceutical composition comprising of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) in a an amorphousform, or crystalline Form I, or II, or a acceptable hydrate or solvatethereof, as an active pharmaceutical ingredient, in combination with oneor more pharmaceutically acceptable carriers or excipients.

The choice of excipient, to a large extent, depends on factors, such asthe particular mode of administration, the effect of the excipient onthe solubility and stability of the active ingredient, and the nature ofthe dosage form.

The pharmaceutical compositions provided herein may be provided in unitdosage forms or multiple-dosage forms. Unit-dosage forms, as usedherein, refer to physically discrete units suitable for administrationto human and animal subjects and packaged individually as is known inthe art. Each unit-dose contains a predetermined quantity of the activeingredient(s) sufficient to produce the desired therapeutic effect, inassociation with the required pharmaceutical carriers or excipients.Examples of unit-dosage forms include ampouls, syringes, andindividually packaged tablets and capsules. Unit dosage forms may beadministered in fractions or multiples thereof. A multiple-dosage formis a plurality of identical unit-dosage forms packaged in a singlecontainer to be administered in segregated unit-dosage form. Examples ofmultiple-dosage forms include vials, bottles of tablets or capsules, orbottles of pints or gallons.

The particulates of the compounds of Formula I and/or Formula IIprovided herein may be administered alone, or in combination with one ormore other compounds provided herein, one or more other activeingredients. The pharmaceutical compositions provided herein may beformulated in various dosage forms for oral, parenteral, and topicaladministration. The pharmaceutical compositions may also be formulatedas a modified release dosage form, including delayed-, extended-,prolonged-, sustained-, pulsatile-, controlled-, accelerated- and fast-,targeted-, programmed-release, and gastric retention dosage forms. Thesedosage forms can be prepared according to conventional methods andtechniques known to those skilled in the art (see, Remington: TheScience and Practice of Pharmacy, supra; Modified-Release Drug DeliveryTechnology, Rathbone et al., Eds., Drugs and the Pharmaceutical Science,Marcel Dekker, Inc.: New York, N.Y., 2002; Vol. 126).

The pharmaceutical compositions provided herein may be administered atonce, or multiple times at intervals of time. It is understood that theprecise dosage and duration of treatment may vary with the age, weight,and condition of the patient being treated, and may be determinedempirically using known testing protocols or by extrapolation from invivo or in vitro test or diagnostic data. It is further understood thatfor any particular individual, specific dosage regimens should beadjusted over time according to the individual need and the professionaljudgment of the person administering or supervising the administrationof the formulations.

Oral Administration

The pharmaceutical compositions provided herein may be provided insolid, semisolid, or liquid dosage forms for oral administration. Asused herein, oral administration also include buccal, lingual, andsublingual administration. Suitable oral dosage forms include, but arenot limited to, tablets, capsules, pills, troches, lozenges, pastilles,cachets, pellets, medicated chewing gum, granules, bulk powders,effervescent or non-effervescent powders or granules, solutions,emulsions, suspensions, solutions, wafers, sprinkles, elixirs, andsyrups. In addition to the active ingredient(s), the pharmaceuticalcompositions may contain one or more pharmaceutically acceptablecarriers or excipients, including, but not limited to, binders, fillers,diluents, disintegrants, wetting agents, lubricants, glidants, coloringagents, dye-migration inhibitors, sweetening agents, and flavoringagents.

Binders or granulators impart cohesiveness to a tablet to ensure thetablet remaining intact after compression. Suitable binders orgranulators include, but are not limited to, starches, such as cornstarch, potato starch, and pre-gelatinized starch (e.g., STARCH 1500);gelatin; sugars, such as sucrose, glucose, dextrose, molasses, andlactose; natural and synthetic gums, such as acacia, alginic acid,alginates, extract of Irish moss, Panwar gum, ghatti gum, mucilage ofisabgol husks, carboxymethylcellulose, methylcellulose,polyvinylpyrrolidone (PVP), Veegum, larch arabogalactan, powderedtragacanth, and guar gum; celluloses, such as ethyl cellulose, celluloseacetate, carboxymethyl cellulose calcium, sodium carboxymethylcellulose, methyl cellulose, hydroxyethylcellulose (HEC),hydroxypropylcellulose (HPC), hydroxypropyl methyl cellulose (HPMC);microcrystalline celluloses, such as AVICEL-PH-101, AVICEL-PH-103,AVICEL RC-581, AVICEL-PH-105 (FMC Corp., Marcus Hook, Pa.); and mixturesthereof. Suitable fillers include, but are not limited to, talc, calciumcarbonate, microcrystalline cellulose, powdered cellulose, dextrates,kaolin, mannitol, silicic acid, sorbitol, starch, pregelatinized starch,and mixtures thereof. The binder or filler may be present from about 50to about 99% by weight in the pharmaceutical compositions providedherein.

Suitable diluents include, but are not limited to, dicalcium phosphate,calcium sulfate, lactose, sorbitol, sucrose, inositol, cellulose,kaolin, mannitol, sodium chloride, dry starch, and powdered sugar.Certain diluents, such as mannitol, lactose, sorbitol, sucrose, andinositol, when present in sufficient quantity, can impart properties tosome compressed tablets that permit disintegration in the mouth bychewing. Such compressed tablets can be used as chewable tablets.

Suitable disintegrants include, but are not limited to, agar; bentonite;celluloses, such as methylcellulose and carboxymethylcellulose; woodproducts; natural sponge; cation-exchange resins; alginic acid; gums,such as guar gum and Vee gum HV; citrus pulp; cross-linked celluloses,such as croscarmellose; cross-linked polymers, such as crospovidone;cross-linked starches; calcium carbonate; microcrystalline cellulose,such as sodium starch glycolate; polacrilin potassium; starches, such ascorn starch, potato starch, tapioca starch, and pre-gelatinized starch;clays; aligns; and mixtures thereof. The amount of disintegrant in thepharmaceutical compositions provided herein varies upon the type offormulation, and is readily discernible to those of ordinary skill inthe art. The pharmaceutical compositions provided herein may containfrom about 0.5 to about 15% or from about 1 to about 5% by weight of adisintegrant.

Suitable lubricants include, but are not limited to, calcium stearate;magnesium stearate; mineral oil; light mineral oil; glycerin; sorbitol;mannitol; glycols, such as glycerol behenate and polyethylene glycol(PEG); stearic acid; sodium lauryl sulfate; talc; hydrogenated vegetableoil, including peanut oil, cottonseed oil, sunflower oil, sesame oil,olive oil, corn oil, and soybean oil; zinc stearate; ethyl oleate; ethyllaureate; agar; starch; lycopodium; silica or silica gels, such asAEROSIL® 200 (W.R. Grace Co., Baltimore, Md.) and CAB-O-SIL® (Cabot Co.of Boston, Mass.); and mixtures thereof. The pharmaceutical compositionsprovided herein may contain about 0.1 to about 5% by weight of alubricant.

Suitable glidants include colloidal silicon dioxide, CAB-O-SIL® (CabotCo. of Boston, Mass.), and asbestos-free talc. Coloring agents includeany of the approved, certified, water soluble FD&C dyes, and waterinsoluble FD&C dyes suspended on alumina hydrate, and color lakes andmixtures thereof. A color lake is the combination by adsorption of awater-soluble dye to a hydrous oxide of a heavy metal, resulting in aninsoluble form of the dye. Flavoring agents include natural flavorsextracted from plants, such as fruits, and synthetic blends of compoundswhich produce a pleasant taste sensation, such as peppermint and methylsalicylate. Sweetening agents include sucrose, lactose, mannitol,syrups, glycerin, and artificial sweeteners, such as saccharin andaspartame. Suitable emulsifying agents include gelatin, acacia,tragacanth, bentonite, and surfactants, such as polyoxyethylene sorbitanmonooleate (TWEEN® 20), polyoxyethylene sorbitan monooleate 80 (TWEEN®80), and triethanolamine oleate. Suspending and dispersing agentsinclude sodium carboxymethylcellulose, pectin, tragacanth, Veegum,acacia, sodium carbomethylcellulose, hydroxypropyl methylcellulose, andpolyvinylpyrolidone. Preservatives include glycerin, methyl andpropylparaben, benzoic add, sodium benzoate and alcohol. Wetting agentsinclude propylene glycol monostearate, sorbitan monooleate, diethyleneglycol monolaurate, and polyoxyethylene lauryl ether. Solvents includeglycerin, sorbitol, ethyl alcohol, and syrup. Examples of non-aqueousliquids utilized in emulsions include mineral oil and cottonseed oil.Organic acids include citric and tartaric acid. Sources of carbondioxide include sodium bicarbonate and sodium carbonate.

It should be understood that many carriers and excipients may serveseveral functions, even within the same formulation. The pharmaceuticalcompositions provided herein may be provided as compressed tablets,tablet triturates, chewable lozenges, rapidly dissolving tablets,multiple compressed tablets, or enteric-coating tablets, sugar-coated,or film-coated tablets. Enteric coated tablets are compressed tabletscoated with substances that resist the action of stomach acid butdissolve or disintegrate in the intestine, thus protecting the activeingredients from the acidic environment of the stomach. Enteric-coatingsinclude, but are not limited to, fatty acids, fats, phenylsalicylate,waxes, shellac, ammoniated shellac, and cellulose acetate phthalates.Sugar-coated tablets are compressed tablets surrounded by a sugarcoating, which may be beneficial in covering up objectionable tastes orodors and in protecting the tablets from oxidation. Film-coated tabletsare compressed tablets that are covered with a thin layer or film of awater-soluble material. Film coatings include, but are not limited to,hydroxyethylcellulose, sodium carboxymethylcellulose, polyethyleneglycol 4000, and cellulose acetate phthalate. Film coating imparts thesame general characteristics as sugar coating. Multiple compressedtablets are compressed tablets made by more than one compression cycle,including layered tablets, and press-coated or dry-coated tablets.

The tablet dosage forms may be prepared from the active ingredient inpowdered, crystalline, or granular forms, alone or in combination withone or more carriers or excipients described herein, including binders,disintegrants, controlled-release polymers, lubricants, diluents, and/orcolorants. Flavoring and sweetening agents are especially useful in theformation of chewable tablets and lozenges.

The pharmaceutical compositions provided herein may be provided as softor hard capsules, which can be made from gelatin, methylcellulose,starch, or calcium alginate. The hard gelatin capsule, also known as thedry-filled capsule (DFC), consists of two sections, one slipping overthe other, thus completely enclosing the active ingredient. The softelastic capsule (SEC) is a soft, globular shell, such as a gelatinshell, which is plasticized by the addition of glycerin, sorbitol, or asimilar polyol. The soft gelatin shells may contain a preservative toprevent the growth of microorganisms. Suitable preservatives are thoseas described herein, including methyl- and propyl-parabens, and sorbicacid. The liquid, semisolid, and solid dosage forms provided herein maybe encapsulated in a capsule. Suitable liquid and semisolid dosage formsinclude solutions and suspensions in propylene carbonate, vegetableoils, or triglycerides. Capsules containing such solutions can beprepared as described in U.S. Pat. Nos. 4,328,245; 4,409,239; and4,410,545. The capsules may also be coated as known by those of skill inthe art in order to modify or sustain dissolution of the activeingredient.

The pharmaceutical compositions provided herein may be provided inliquid and semisolid dosage forms, including emulsions, solutions,suspensions, elixirs, and syrups. An emulsion is a two-phase system, inwhich one liquid is dispersed in the form of small globules throughoutanother liquid, which can be oil-in-water or water-in-oil. Emulsions mayinclude a pharmaceutically acceptable non-aqueous liquids or solvent,emulsifying agent, and preservative. Suspensions may include apharmaceutically acceptable suspending agent and preservative. Aqueousalcoholic solutions may include a pharmaceutically acceptable acetal,such as a di(lower alkyl) acetal of a lower alkyl aldehyde (the term“lower” means an alkyl having between 1 and 6 carbon atoms), e.g.,acetaldehyde diethyl acetal; and a water-miscible solvent having one ormore hydroxyl groups, such as propylene glycol and ethanol. Elixirs areclear, sweetened, and hydroalcoholic solutions. Syrups are concentratedaqueous solutions of a sugar, for example, sucrose, and may also containa preservative. For a liquid dosage form, for example, a solution in apolyethylene glycol may be diluted with a sufficient quantity of apharmaceutically acceptable liquid carrier, e.g., water, to be measuredconveniently for administration.

Other useful liquid and semisolid dosage forms include, but are notlimited to, those containing the active ingredient(s) provided herein,and a dialkylated mono- or polyalkylene glycol, including,1,2-dimethoxymethane, diglyme, triglyme, tetraglyme, polyethyleneglycol-350-dimethyl ether, polyethylene glycol-550-dimethyl ether,polyethylene glycol-750-dimethyl ether, wherein 350, 550, and 750 referto the approximate average molecular weight of the polyethylene glycol.These formulations may further comprise one or more antioxidants, suchas butylated hydroxytoluene (BHT), butylated hydroxyanisole (BHA),propyl gallate, vitamin E, hydroquinone, hydroxycoumarins, ethanolamine,lecithin, cephalin, ascorbic acid, malic acid, sorbitol, phosphoricacid, bisulfate, sodium metabisulfite, thiodipropionic acid and itsesters, and dithiocarbamates.

The pharmaceutical compositions provided herein for oral administrationmay be also provided in the forms of liposomes, micelles, microspheres,or nanosystems. Micellar dosage forms can be prepared as described inU.S. Pat. No. 6,350,458.

The pharmaceutical compositions provided herein may be provided asnoneffervescent or effervescent, granules and powders, to bereconstituted into a liquid dosage form. Pharmaceutically acceptablecarriers and excipients used in the non-effervescent granules or powdersmay include diluents, sweeteners, and wetting agents. Pharmaceuticallyacceptable carriers and excipients used in the effervescent granules orpowders may include organic acids and a source of carbon dioxide.

Coloring and flavoring agents can be used in all of the above dosageforms. The pharmaceutical compositions provided herein may be formulatedas immediate or modified release dosage forms, including delayed-,sustained, pulsed-, controlled, targeted-, and programmed-release forms.

The pharmaceutical compositions provided herein may be co-formulatedwith other active ingredients which do not impair the desiredtherapeutic action, or with substances that supplement the desiredaction, such as antacids, proton pump inhibitors, and Hz-receptorantagonists.

The pharmaceutical compositions provided herein may be administeredparenterally by injection, infusion, or implantation, for local orsystemic administration. Parenteral administration, as used herein,include intravenous, intraarterial, intraperitoneal, intrathecal,intraventricular, intraurethral, intrasternal, intracranial,intramuscular, intrasynovial, and subcutaneous administration.

Parenteral Administration

The pharmaceutical compositions provided herein may be formulated in anydosage forms that are suitable for parenteral administration, includingsolutions, suspensions, emulsions, micelles, liposomes, microspheres,nanosystems, and solid forms suitable for solutions or suspensions inliquid prior to injection. Such dosage forms can be prepared accordingto conventional methods known to those skilled in the art ofpharmaceutical science (see, Remington: The Science and Practice ofPharmacy, supra).

The pharmaceutical compositions intended for parenteral administrationmay include one or more pharmaceutically acceptable carriers andexcipients, including, but not limited to, aqueous vehicles,water-miscible vehicles, non-aqueous vehicles, antimicrobial agents orpreservatives against the growth of microorganisms, stabilizers,solubility enhancers, isotonic agents, buffering agents, antioxidants,local anesthetics, suspending and dispersing agents, wetting oremulsifying agents, complexing agents, sequestering or chelating agents,cryoprotectants, lyoprotectants, thickening agents, pH adjusting agents,and inert gases.

Suitable aqueous vehicles include, but are not limited to, water,saline, physiological saline or phosphate buffered saline (PBS), sodiumchloride injection, Ringers injection, isotonic dextrose injection,sterile water injection, dextrose and lactated Ringers injection.Non-aqueous vehicles include, but are not limited to, fixed oils ofvegetable origin, castor oil, corn oil, cottonseed oil, olive oil,peanut oil, peppermint oil, safflower oil, sesame oil, soybean oil,hydrogenated vegetable oils, hydrogenated soybean oil, and medium-chaintriglycerides of coconut oil, and palm seed oil. Water-miscible vehiclesinclude, but are not limited to, ethanol, 1,3-butanediol, liquidpolyethylene glycol (e.g., polyethylene glycol 300 and polyethyleneglycol 400), propylene glycol, glycerin, N-methyl-2-pyrrolidone,dimethylacetamide, and dimethylsulfoxide.

Suitable antimicrobial agents or preservatives include, but are notlimited to, phenols, cresols, mercurials, benzyl alcohol, chlorobutanol,methyl and propyl phydroxybenzates, thimerosal, benzalkonium chloride,benzethonium chloride, methyl- and propyl-parabens, and sorbic acid.Suitable isotonic agents include, but are not limited to, sodiumchloride, glycerin, and dextrose. Suitable buffering agents include, butare not limited to, phosphate and citrate. Suitable antioxidants arethose as described herein, including bisulfate and sodium metabisulfite.Suitable local anesthetics include, but are not limited to, procainehydrochloride. Suitable suspending and dispersing agents are those asdescribed herein, including sodium carboxymethylcelluose, hydroxypropylmethylcellulose, and polyvinylpyrrolidone. Suitable emulsifying agentsinclude those described herein, including polyoxyethylene sorbitanmonolaurate, polyoxyethylene sorbitan monooleate 80, and triethanolamineoleate. Suitable sequestering or chelating agents include, but are notlimited to EDTA. Suitable pH adjusting agents include, but are notlimited to, sodium hydroxide, hydrochloric acid, citric acid, and lacticacid. Suitable complexing agents include, but are not limited to,cyclodextrins, including alpha-cyclodextrin, beta-cyclodextrin,hydroxypropyl-beta-cyclodextrin, sulfobutylether-beta-cyclodextrin, andsulfobutylether 7-beta-cyclodextrin (CAPTISOL®, CyDex, Lenexa, Kans.).

The pharmaceutical compositions provided herein may be formulated forsingle or multiple dosage administration. The single dosage formulationsare packaged in an ampule, a vial, or a syringe. The multiple dosageparenteral formulations must contain an antimicrobial agent atbacteriostatic or fungistatic concentrations. All parenteralformulations must be sterile, as known and practiced in the art.

In one embodiment, the pharmaceutical compositions are provided asready-to-use sterile solutions. In another embodiment, thepharmaceutical compositions are provided as sterile dry solubleproducts, including lyophilized powders and hypodermic tablets, to bereconstituted with a vehicle prior to use. In yet another embodiment,the pharmaceutical compositions are provided as ready-to-use sterilesuspensions. In yet another embodiment, the pharmaceutical compositionsare provided as sterile dry insoluble products to be reconstituted witha vehicle prior to use. In still another embodiment, the pharmaceuticalcompositions are provided as ready-to-use sterile emulsions.

The pharmaceutical compositions provided herein may be formulated asimmediate or modified release dosage forms, including delayed-,sustained, pulsed-, controlled, targeted-, and programmed-release forms.

The pharmaceutical compositions may be formulated as a suspension,solid, semi-solid, or thixotropic liquid, for administration as animplanted depot. In one embodiment, the pharmaceutical compositionsprovided herein are dispersed in a solid inner matrix, which issurrounded by an outer polymeric membrane that is insoluble in bodyfluids but allows the active ingredient in the pharmaceuticalcompositions diffuse through.

Suitable inner matrixes include polymethylmethacrylate,polybutylmethacrylate, plasticized or unplasticized polyvinylchloride,plasticized nylon, plasticized polyethyleneterephthalate, naturalrubber, polyisoprene, polyisobutylene, polybutadiene, polyethylene,ethylene-vinylacetate copolymers, silicone rubbers,polydimethylsiloxanes, silicone carbonate copolymers, hydrophilicpolymers, such as hydrogels of esters of acrylic and methacrylic acid,collagen, cross-linked polyvinylalcohol, and cross-linked partiallyhydrolyzed polyvinyl acetate.

Suitable outer polymeric membranes include polyethylene, polypropylene,ethylene/propylene copolymers, ethylene/ethyl acrylate copolymers,ethylene/vinylacetate copolymers, silicone rubbers, polydimethylsiloxanes, neoprene rubber, chlorinated polyethylene, polyvinylchloride,vinylchloride copolymers with vinyl acetate, vinylidene chloride,ethylene and propylene, ionomer polyethylene terephthalate, butyl rubberepichlorohydrin rubbers, ethylene/vinyl alcohol copolymer,ethylene/vinyl acetate/vinyl alcohol terpolymer, andethylene/vinyloxyethanol copolymer.

Topical Administration

The pharmaceutical compositions provided herein may be administeredtopically to the skin, orifices, or mucosa. The topical administration,as used herein, include (intra)dermal, conjuctival, intracorneal,intraocular, ophthalmic, auricular, transdermal, nasal, vaginal,uretheral, respiratory, and rectal administration.

The pharmaceutical compositions provided herein may be formulated in anydosage forms that are suitable for topical administration for local orsystemic effect, including emulsions, solutions, suspensions, creams,gels, hydrogels, ointments, dusting powders, dressings, elixirs,lotions, suspensions, tinctures, pastes, foams, films, aerosols,irrigations, sprays, suppositories, bandages, dermal patches. Thetopical formulation of the pharmaceutical compositions provided hereinmay also comprise liposomes, micelles, microspheres, nanosystems, andmixtures thereof.

Pharmaceutically acceptable carriers and excipients suitable for use inthe topical formulations provided herein include, but are not limitedto, aqueous vehicles, water miscible vehicles, non-aqueous vehicles,antimicrobial agents or preservatives against the growth ofmicroorganisms, stabilizers, solubility enhancers, isotonic agents,buffering agents, antioxidants, local anesthetics, suspending anddispersing agents, wetting or emulsifying agents, complexing agents,sequestering or chelating agents, penetration enhancers,cryopretectants, lyoprotectants, thickening agents, and inert gases.

The pharmaceutical compositions may also be administered topically byelectroporation, iontophoresis, phonophoresis, sonophoresis andmicroneedle or needle-free injection, such as POWDERJECT™ (Chiron Corp.,Emeryville, Calif.), and BIOJECT™ (Bioject Medical Technologies Inc.,Tualatin, Oreg.).

The pharmaceutical compositions provided herein may be provided in theforms of ointments, creams, and gels. Suitable ointment vehicles includeoleaginous or hydrocarbon bases, including such as lard, benzoinatedlard, olive oil, cottonseed oil, and other oils, white petrolatum;emulsifiable or absorption bases, such as hydrophilic petrolatum,hydroxystearin sulfate, and anhydrous lanolin; water-removable bases,such as hydrophilic ointment; water-soluble ointment bases, includingpolyethylene glycols of varying molecular weight; emulsion bases, eitherwater-in-oil (W/O) emulsions or oil-in-water (O/W) emulsions, includingcetyl alcohol, glyceryl monostearate, lanolin, and stearic acid (see,Remington: The Science and Practice of Pharmacy, supra). These vehiclesare emollient but generally require addition of antioxidants andpreservatives.

Suitable cream base can be oil-in-water or water-in-oil. Cream vehiclesmay be water-washable, and contain an oil phase, an emulsifier, and anaqueous phase. The oil phase is also called the “internal” phase, whichis generally comprised of petrolatum and a fatty alcohol such as cetylor stearyl alcohol. The aqueous phase usually, although not necessarily,exceeds the oil phase in volume, and generally contains a humectant. Theemulsifier in a cream formulation may be a nonionic, anionic, cationic,or amphoteric surfactant.

Gels are semisolid, suspension-type systems. Single-phase gels containorganic macromolecules distributed substantially uniformly throughoutthe liquid carrier. Suitable gelling agents include crosslinked acrylicacid polymers, such as carbomers, carboxypolyalkylenes, Carbopol®;hydrophilic polymers, such as polyethylene oxides,polyoxyethylene-polyoxypropylene copolymers, and polyvinylalcohol;cellulosic polymers, such as hydroxypropyl cellulose, hydroxyethylcellulose, hydroxypropyl methylcellulose, hydroxypropyl methylcellulosephthalate, and methylcellulose; gums, such as tragacanth and xanthangum; sodium alginate; and gelatin. In order to prepare a uniform gel,dispersing agents such as alcohol or glycerin can be added, or thegelling agent can be dispersed by trituration, mechanical mixing, and/orstirring.

The pharmaceutical compositions provided herein may be administeredrectally, urethrally, vaginally, or perivaginally in the forms ofsuppositories, pessaries, bougies, poultices or cataplasm, pastes,powders, dressings, creams, plasters, contraceptives, ointments,solutions, emulsions, suspensions, tampons, gels, foams, sprays, orenemas. These dosage forms can be manufactured using conventionalprocesses as described in Remington: The Science and Practice ofPharmacy, supra.

Rectal, urethral, and vaginal suppositories are solid bodies forinsertion into body orifices, which are solid at ordinary temperaturesbut melt or soften at body temperature to release the activeingredient(s) inside the orifices. Pharmaceutically acceptable carriersutilized in rectal and vaginal suppositories include vehicles, such asstiffening agents, which produce a melting point in the proximity ofbody temperature, when formulated with the pharmaceutical compositionsprovided herein; and antioxidants as described herein, includingbisulfite and sodium metabisulfite. Suitable vehicles include, but arenot limited to, cocoa butter (theobroma oil), glycerin-gelatin, carbowax(polyoxyethylene glycol), spermaceti, paraffin, white and yellow wax,and appropriate mixtures of mono-, di- and triglycerides of fatty acids,hydrogels, such as polyvinyl alcohol, hydroxyethyl methacrylate,polyacrylic acid; glycerinated gelatin. Combinations of the variousvehicles may be used. Rectal and vaginal suppositories may be preparedby the compressed method or molding. The typical weight of a rectal andvaginal suppository is about 2 to 3 g.

The pharmaceutical compositions provided herein may be administeredophthalmically in the forms of solutions, suspensions, ointments,emulsions, gel-forming solutions, powders for solutions, gels, ocularinserts, and implants.

The pharmaceutical compositions provided herein may be administeredintranasally or by inhalation to the respiratory tract. Thepharmaceutical compositions may be provided in the form of an aerosol orsolution for delivery using a pressurized container, pump, spray,atomizer, such as an atomizer using electrohydrodynamics to produce afine mist, or nebulizer, alone or in combination with a suitablepropellant, such as 1,1,1,2-tetrafluoroethane or1,1,1,2,3,3,3-heptafluoropropane. The pharmaceutical compositions mayalso be provided as a dry powder for insufflation, alone or incombination with an inert carrier such as lactose or phospholipids; andnasal drops. For intranasal use, the powder may comprise a bioadhesiveagent, including chitosan or cyclodextrin.

Solutions or suspensions for use in a pressurized container, pump,spray, atomizer, or nebulizer may be formulated to contain ethanol,aqueous ethanol, or a suitable alternative agent for dispersing,solubilizing, or extending release of the active ingredient providedherein, a propellant as solvent; and/or a surfactant, such as sorbitantrioleate, oleic acid, or an oligolactic acid.

The pharmaceutical compositions provided herein may be micronized to asize suitable for delivery by inhalation, such as 50 micrometers orless, or 10 micrometers or less. Particles of such sizes may be preparedusing a comminuting method known to those skilled in the art, such asspiral jet milling, fluid bed jet milling, supercritical fluidprocessing to form nanoparticles, high pressure homogenization, or spraydrying.

Capsules, blisters and cartridges for use in an inhaler or insufflatormay be formulated to contain a powder mix of the pharmaceuticalcompositions provided herein; a suitable powder base, such as lactose orstarch; and a performance modifier, such as l-leucine, mannitol, ormagnesium stearate. The lactose may be anhydrous or in the form of themonohydrate. Other suitable excipients include dextran, glucose,maltose, sorbitol, xylitol, fructose, sucrose, and trehalose. Thepharmaceutical compositions provided herein for inhaled/intranasaladministration may further comprise a suitable flavor, such as mentholand levomenthol, or sweeteners, such as saccharin or saccharin sodium.

The pharmaceutical compositions provided herein for topicaladministration may be formulated to be immediate release or modifiedrelease, including delayed-, sustained-, pulsed-, controlled-, targeted,and programmed release.

Modified Release

The pharmaceutical compositions provided herein may be formulated as amodified release dosage form. As used herein, the term “modifiedrelease” refers to a dosage form in which the rate or place of releaseof the active ingredient(s) is different from that of an immediatedosage form when administered by the same route. Modified release dosageforms include delayed-, extended-, prolonged-, sustained-, pulsatile- orpulsed-, controlled-, accelerated- and fast-, targeted-,programmed-release, and gastric retention dosage forms. Thepharmaceutical compositions in modified release dosage forms can beprepared using a variety of modified release devices and methods knownto those skilled in the art, including, but not limited to, matrixcontrolled release devices, osmotic controlled release devices,multiparticulate controlled release devices, ion-exchange resins,enteric coatings, multilayered coatings, microspheres, liposomes, andcombinations thereof. The release rate of the active ingredient(s) canalso be modified by varying the particle sizes and polymorphorism of theactive ingredient(s).

Examples of modified release include, but are not limited to, thosedescribed in U.S. Pat. Nos. 3,845,770; 3,916,899; 3,536,809; 3,598,123;4,008,719; 5,674,533; 5,059,595; 5,591,767; 5,120,548; 5,073,543;5,639,476; 5,354,556; 5,639,480; 5,733,566; 5,739,108; 5,891,474;5,922,356; 5,972,891; 5,980,945; 5,993,855; 6,045,830; 6,087,324;6,113,943; 6,197,350; 6,248,363; 6,264,970; 6,267,981; 6,376,461;6,419,961; 6,589,548; 6,613,358; and 6,699,500.

Martrix Controlled Release Devices

The pharmaceutical compositions provided herein in a modified releasedosage form may be fabricated using a matrix controlled release deviceknown to those skilled in the art (see, Takada et al. in “Encyclopediaof Controlled Drug Delivery,” Vol. 2, Mathiowitz ed., Wiley, 1999).

In one embodiment, the pharmaceutical compositions provided herein in amodified release dosage form is formulated using an erodible matrixdevice, which is water swellable, erodible, or soluble polymers,including synthetic polymers, and naturally occurring polymers andderivatives, such as polysaccharides and proteins.

Materials useful in forming an erodible matrix include, but are notlimited to, chitin, chitosan, dextran, and pullulan; gum agar, gumarabic, gum karaya, locust bean gum, gum tragacanth, carrageenans, gumghatti, guar gum, xanthan gum, and scleroglucan; starches, such asdextrin and maltodextrin; hydrophilic colloids, such as pectin;phosphatides, such as lecithin; alginates; propylene glycol alginate;gelatin; collagen; and cellulosics, such as ethyl cellulose (EC),methylethyl cellulose (MEC), carboxymethyl cellulose (CMC), CMEC,hydroxyethyl cellulose (HEC), hydroxypropyl cellulose (HPC), celluloseacetate (CA), cellulose propionate (CP), cellulose butyrate (CB),cellulose acetate butyrate (CAB), CAP, CAT, hydroxypropyl methylcellulose (HPMC), HPMCP, HPMCAS, hydroxypropyl methyl cellulose acetatetrimellitate (HPMCAT), and ethylhydroxy ethylcellulose (EHEC); polyvinylpyrrolidone; polyvinyl alcohol; polyvinyl acetate; glycerol fatty acidesters; polyacrylamide; polyacrylic acid; copolymers of ethacrylic acidor methacrylic acid (EUDRAGIT®, Rohm America, Inc., Piscataway, N.J.);poly(2-hydroxyethyl-methacrylate); polylactides; copolymers ofL-glutamic acid and ethyl-L-glutamate; degradable lactic acidglycolicacid copolymers; poly-D-(−)-3-hydroxybutyric acid; and other acrylicacid derivatives, such as homopolymers and copolymers ofbutylmethacrylate, methylmethacrylate, ethylmethacrylate, ethylacrylate,(2-dimethylaminoethyl)methacrylate, and(trimethylaminoethyl)methacrylate chloride.

In another embodiment, the pharmaceutical compositions are formulatedwith a non-erodible matrix device. The active ingredient(s) is dissolvedor dispersed in an inert matrix and is released primarily by diffusionthrough the inert matrix once administered. Materials suitable for useas a non-erodible matrix device included, but are not limited to,insoluble plastics, such as polyethylene, polypropylene, polyisoprene,polyisobutylene, polybutadiene, polymethylmethacrylate,polybutylmethacrylate, chlorinated polyethylene, polyvinylchloride,methyl acrylate-methyl methacrylate copolymers, ethylene-vinylacetatecopolymers, ethylene/propylene copolymers, ethylene/ethyl acrylatecopolymers, vinylchloride copolymers with vinyl acetate, vinylidenechloride, ethylene and propylene, ionomer polyethylene terephthalate,butyl rubber epichlorohydrin rubbers, ethylene/vinyl alcohol copolymer,ethylene/vinyl acetate/vinyl alcohol terpolymer, andethylene/vinyloxyethanol copolymer, polyvinyl chloride, plasticizednylon, plasticized polyethyleneterephthalate, natural rubber, siliconerubbers, polydimethylsiloxanes, silicone carbonate copolymers, and;hydrophilic polymers, such as ethyl cellulose, cellulose acetate,crospovidone, and cross-linked partially hydrolyzed polyvinyl acetate;and fatty compounds, such as camauba wax, microcrystalline wax, andtriglycerides.

In a matrix controlled release system, the desired release kinetics canbe controlled, for example, via the polymer type employed, the polymerviscosity, the particle sizes of the polymer and/or the activeingredient(s), the ratio of the active ingredient(s) versus the polymer,and other excipients in the compositions.

The pharmaceutical compositions provided herein in a modified releasedosage form may be prepared by methods known to those skilled in theart, including direct compression, dry or wet granulation followed bycompression, melt-granulation followed by compression.

Osmotic Controlled Release Devices

The pharmaceutical compositions provided herein in a modified releasedosage form may be fabricated using an osmotic controlled releasedevice, including one-chamber system, two-chamber system, asymmetricmembrane technology (AMT), and extruding core system (ECS). In general,such devices have at least two components: (a) the core which containsthe active ingredient(s); and (b) a semipermeable membrane with at leastone delivery port, which encapsulates the core. The semipermeablemembrane controls the influx of water to the core from an aqueousenvironment of use so as to cause drug release by extrusion through thedelivery port(s).

In addition to the active ingredient(s), the core of the osmotic deviceoptionally includes an osmotic agent, which creates a driving force fortransport of water from the environment of use into the core of thedevice. One class of osmotic agents waterswellable hydrophilic polymers,which are also referred to as “osmopolymers” and “hydrogels,” including,but not limited to, hydrophilic vinyl and acrylic polymers,polysaccharides such as calcium alginate, polyethylene oxide (PEO),polyethylene glycol (PEG), polypropylene glycol (PPG),poly(2-hydroxyethyl methacrylate), poly(acrylic) acid, poly(methacrylic)acid, polyvinylpyrrolidone (PVP), crosslinked PVP, polyvinyl alcohol(PVA), PVA/PVP copolymers, PVA/PVP copolymers with hydrophobic monomerssuch as methyl methacrylate and vinyl acetate, hydrophilic polyurethanescontaining large PEO blocks, sodium croscarmellose, carrageenan,hydroxyethyl cellulose (HEC), hydroxypropyl cellulose (HPC),hydroxypropyl methyl cellulose (HPMC), carboxymethyl cellulose (CMC) andcarboxyethyl, cellulose (CEC), sodium alginate, polycarbophil, gelatin,xanthan gum, and sodium starch glycolate.

The other class of osmotic agents is osmogens, which are capable ofimbibing water to affect an osmotic pressure gradient across the barrierof the surrounding coating. Suitable osmogens include, but are notlimited to, inorganic salts, such as magnesium sulfate, magnesiumchloride, calcium chloride, sodium chloride, lithium chloride, potassiumsulfate, potassium phosphates, sodium carbonate, sodium sulfite, lithiumsulfate, potassium chloride, and sodium sulfate; sugars, such asdextrose, fructose, glucose, inositol, lactose, maltose, mannitol,raffinose, sorbitol, sucrose, trehalose, and xylitol; organic acids,such as ascorbic acid, benzoic acid, fumaric acid, citric acid, maleicacid, sebacic acid, sorbic acid, adipic acid, edetic acid, glutamicacid, p-tolunesulfonic acid, succinic acid, and tartaric acid; urea; andmixtures thereof.

Osmotic agents of different dissolution rates may be employed toinfluence how rapidly the active ingredient(s) is initially deliveredfrom the dosage form. For example, amorphous sugars, such as MannogemeEZ (SPI Pharma, Lewes, Del.) can be used to provide faster deliveryduring the first couple of hours to promptly produce the desiredtherapeutic effect, and gradually and continually release of theremaining amount to maintain the desired level of therapeutic orprophylactic effect over an extended period of time. In this case, theactive ingredient(s) is released at such a rate to replace the amount ofthe active ingredient metabolized and excreted.

The core may also include a wide variety of other excipients andcarriers as described herein to enhance the performance of the dosageform or to promote stability or processing.

Materials useful in forming the semipermeable membrane include variousgrades of acrylics, vinyls, ethers, polyamides, polyesters, andcellulosic derivatives that are water-permeable and water-insoluble atphysiologically relevant pHs, or are susceptible to being renderedwater-insoluble by chemical alteration, such as crosslinking. Examplesof suitable polymers useful in forming the coating, include plasticized,unplasticized, and reinforced cellulose acetate (CA), cellulosediacetate, cellulose triacetate, CA propionate, cellulose nitrate,cellulose acetate butyrate (CAB), CA ethyl carbamate, CAP, CA methylcarbamate, CA succinate, cellulose acetate trimellitate (CAT), CAdimethylaminoacetate, CAethyl carbonate, CA chloroacetate, CA ethyloxalate, CA methyl sulfonate, CA butyl sulfonate, CA p-toluenesulfonate, agar acetate, amylose triacetate, beta glucan acetate, betaglucan triacetate, acetaldehyde dimethyl acetate, triacetate of locustbean gum, hydroxlated ethylene-vinylacetate, EC, PEG, PPG, PEG/PPGcopolymers, PVP, HEC, HPC, CMC, CMEC, HPMC, HPMCP, HPMCAS, HPMCAT,poly(acrylic) acids and esters and poly(methacrylic) acids and estersand copolymers thereof, starch, dextran, dextrin, chitosan, collagen,gelatin, polyalkenes, polyethers, polysulfones, polyethersulfones,polystyrenes, polyvinyl halides, polyvinyl esters and ethers, naturalwaxes, and synthetic waxes.

Semipermeable membrane may also be a hydrophobic microporous membrane,wherein the pores are substantially filled with a gas and are not wettedby the aqueous medium but are permeable to water, as disclosed in U.S.Pat. No. 5,798,119. Such hydrophobic but water-permeable membrane aretypically composed of hydrophobic polymers such as polyalkenes,polyethylene, polypropylene, polytetrafluoroethylene, polyacrylic acidderivatives, polyethers, polysulfones, polyethersulfones, polystyrenes,polyvinyl halides, polyvinylidene fluoride, polyvinyl esters and ethers,natural waxes, and synthetic waxes.

The delivery port(s) on the semipermeable membrane may be formedpostcoating by mechanical or laser drilling. Delivery port(s) may alsobe formed in situ by erosion of a plug of water-soluble material or byrupture of a thinner portion of the membrane over an indentation in thecore. In addition, delivery ports may be formed during coating process,as in the case of asymmetric membrane coatings of the type disclosed inU.S. Pat. Nos. 5,612,059 and 5,698,220.

The total amount of the active ingredient(s) released and the releaserate can substantially by modulated via the thickness and porosity ofthe semipermeable membrane, the composition of the core, and the number,size, and position of the delivery ports.

The pharmaceutical compositions in an osmotic controlled-release dosageform may further comprise additional conventional excipients asdescribed herein to promote performance or processing of theformulation.

The osmotic controlled-release dosage forms can be prepared according toconventional methods and techniques known to those skilled in the art(see, Remington: The Science and Practice of Pharmacy, supra; Santus andBaker, J. Controlled Release 1995, 35, 1-21; Verma et al., DrugDevelopment and Industrial Pharmacy 2000, 26, 695-708; Verma et al., J.Controlled Release 2002, 79, 7-27).

In certain embodiments, the pharmaceutical compositions provided hereinare formulated as AMT controlled-release dosage form, which comprises anasymmetric osmotic membrane that coats a core comprising the activeingredient(s) and other pharmaceutically acceptable excipients. See,U.S. Pat. No. 5,612,059 and WO 2002/17918. The AMT controlled-releasedosage forms can be prepared according to conventional methods andtechniques known to those skilled in the art, including directcompression, dry granulation, wet granulation, and a dip-coating method.

In certain embodiment, the pharmaceutical compositions provided hereinare formulated as ESC controlled-release dosage form, which comprises anosmotic membrane that coats a core comprising the active ingredient(s),hydroxylethyl cellulose, and other pharmaceutically acceptableexcipients.

Multiparticulate Controlled Release Devices

The pharmaceutical compositions provided herein in a modified releasedosage form may be fabricated a multiparticulate controlled releasedevice, which comprises a multiplicity of particles, granules, orpellets, ranging from about 10 μm to about 3 mm, about 50 μm to about2.5 mm, or from about 100 μm to 1 mm in diameter. Such multiparticulatesmay be made by the processes know to those skilled in the art, includingwet-and dry-granulation, extrusion/spheronization, roller-compaction,melt-congealing, and by spray-coating seed cores. See, for example,Multiparticulate Oral Drug Delivery; Marcel Dekker: 1994; andPharmaceutical Pelletization Technology; Marcel Dekker: 1989.

Other excipients as described herein may be blended with thepharmaceutical compositions to aid in processing and forming themultiparticulates. The resulting particles may themselves constitute themultiparticulate device or may be coated by various filmformingmaterials, such as enteric polymers, water-swellable, and water-solublepolymers. The multiparticulates can be further processed as a capsule ora tablet.

Targeted Delivery

The pharmaceutical compositions provided herein may also be formulatedto be targeted to a particular tissue, receptor, or other area of thebody of the subject to be treated, including liposome-, resealederythrocyte-, and antibody-based delivery systems. Examples include, butare not limited to, U.S. Pat. Nos. 6,316,652; 6,274,552; 6,271,359;6,253,872; 6,139,865; 6,131,570; 6,120,751; 6,071,495; 6,060,082;6,048,736; 6,039,975; 6,004,534; 5,985,307; 5,972,366; 5,900,252;5,840,674; 5,759,542; and 5,709,874.

Method of Use

In one embodiment, provided herein is a method for the treatment,prevention, or amelioration of one or more symptoms associated withinhibition of human vesicular monoamine transporter isoform 2 (VMAT2),comprising administering to a subject a therapeutically effective amountof(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) in anamorphous form, or crystalline Form I, II, III, IV, V, or VI; or anisotopic variant thereof; or solvate thereof.

In another embodiment, provided herein is a method for the treatment,prevention, or amelioration of one or more symptoms of hyperkineticdisorders, comprising administering to a subject a therapeuticallyeffective amount of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) in anamorphous form, or crystalline Form I, II, III, IV, V, or VI; or anisotopic variant thereof; or solvate thereof.

In one embodiment, provided herein is a method for the treatment,prevention, or amelioration of one or more symptoms associated withinhibition of human vesicular monoamine transporter isoform 2 (VMAT2),comprising administering to a subject a therapeutically effective amountof(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) in an amorphousform, or crystalline Form I, or II; or an isotopic variant thereof; orsolvate thereof.

In another embodiment, provided herein is a method for the treatment,prevention, or amelioration of one or more symptoms of hyperkineticdisorders, comprising administering to a subject a therapeuticallyeffective amount of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) in an amorphousform, or crystalline Form I, or II; or an isotopic variant thereof; orsolvate thereof.

In one embodiment, conditions which may be treated by compoundsdescribed herein include, but are not limited to, hyperkinetic disorderssuch as Huntington's disease, tardive dyskinesia, Tourette syndrome,dystonia, hemiballismus, chorea, senile chorea, or tics. In someembodiments, conditions which may be treated by compounds describedherein include, but are not limited to tardive dyskinesia in subjetswith schizophrenia, schizoaffective disorder or mood disorder. In oneembodiment, conditions which may be treated by compounds describedherein include, but are not limited to neurological disorders ordiseases such as bipolar disorder, major depressive disorder, anxiety,attention-deficit hyperactivity disorder, dementia, depression,insomnia, psychosis, post-traumatic stress disorder, substance abuse,Parkinson's disease levodopa-induced dyskinesia, movement disorders, oroppositional defiant disorder.

Movement disorders include, but are not limited to, ataxia, corticobasaldegeneration, dyskinesias (paroxysmal), dystonia (general, segmental,focal) including blepharospasm, spasmodic torticollis (cervicaldystonia), writer's cramp (limb dystonia), laryngeal dystonia (spasmodicdysphonia), and oromandibular dystonia, essential tremor, hereditaryspastic paraplegia, Huntington's disease, multiple system atrophy (ShyDrager Syndrome), myoclonus, Parkinson's Disease, progressivesupranuclear palsy, restless legs syndrome, Rett Syndrome, spasticitydue to stroke, cerebral palsy, multiple sclerosis, spinal cord or braininjury, Sydenham's Chorea, tardive dyskinesia/dystonia, tics, Tourette'sSyndrome, and Wilson's Disease.

Depending on the disease to be treated and the subject's condition, thecompositions provided herein may be administered by oral, parenteral(e.g., intramuscular, intraperitoneal, intravenous, ICV, intracisternalinjection or infusion, subcutaneous injection, or implant), inhalation,nasal, vaginal, rectal, sublingual, or topical (e.g., transdermal orlocal) routes of administration and may be formulated, alone ortogether, in suitable dosage unit with phannaceutically acceptablecarriers, adjuvants and vehicles appropriate for each route ofadministration. Also provided is administration of the particulatesprovided herein in a depot formulation, in which the active ingredientis released over a predefined time period.

In the treatment, prevention, or amelioration of one or more symptoms ofhyperkinetic disorder or other conditions, disorders or diseasesassociated with VMAT2 inhibition, an appropriate dosage level generallyis about 0.001 to 100 mg per kg patient body weight per day (mg/kg perday), about 0.01 to about 80 mg/kg per day, about 0.1 to about 50 mg/kgper day, about 0.5 to about 25 mg/kg per day, or about 1 to about 20mg/kg per day, which may be administered in single or multiple doses.Within this range the dosage may be 0.005 to 0.05, 0.05 to 0.5, or 0.5to 5.0, 1 to 15, 1 to 20, or 1 to 50 mg/kg per day. In certainembodiments, the dosage level is about 0.001 to 100 mg/kg per day. Incertain embodiments, the dosage level is about 0.01 to about 40 mg/kgper day. In certain embodiments, the dosage level is about 0.1 to about80 mg/kg per day. In certain embodiments, the dosage level is about 0.1to about 50 mg/kg per day. In certain embodiments, the dosage level isabout 0.1 to about 40 mg/kg per day. In certain embodiments, the dosagelevel is about 0.5 to about 80 mg/kg per day. In certain embodiments,the dosage level is about 0.5 to about 40 mg/kg per day. In certainembodiments, the dosage level is about 0.5 to about 25 mg/kg per day. Incertain embodiments, the dosage level is about 1 to about 80 mg/kg perday. In certain embodiments, the dosage level is about 1 to about 40mg/kg per day. In certain embodiments, the dosage level is about 1 toabout 25 mg/kg per day.

For oral administration, the pharmaceutical compositions can be providedin the form of tablets containing 1.0 to 1,000 mg of the activeingredient, particularly about 1, about 5, about 10, about 15, about 20,about 25, about 30, about 40, about 45, about 50, about 75, about 80,about 100, about 150, about 200, about 250, about 300, about 400, about500, about 600, about 750, about 800, about 900, and about 1,000 mg ofthe active ingredient for the symptomatic adjustment of the dosage tothe patient to be treated. In certain embodiments, the pharmaceuticalcompositions can be provided in the form of tablets containing about 100mg of the active ingredient. In certain embodiments, the pharmaceuticalcompositions can be provided in the form of tablets containing about 80mg of the active ingredient. In certain embodiments, the pharmaceuticalcompositions can be provided in the form of tablets containing about 50mg of the active ingredient. In certain embodiments, the pharmaceuticalcompositions can be provided in the form of tablets containing about 40mg of the active ingredient. In certain embodiments, the pharmaceuticalcompositions can be provided in the form of tablets containing about 25mg of the active ingredient. The compositions may be administered on aregimen of 1 to 4 times per day, including once, twice, three times, andfour times per day.

It will be understood, however, that the specific dose level andfrequency of dosage for any particular patient may be varied and willdepend upon a variety of factors including the activity of the specificcompound employed, the metabolic stability and length of action of thatcompound, the age, body weight, general health, sex, diet, mode and timeof administration, rate of excretion, drug combination, the severity ofthe particular condition, and the host undergoing therapy.

Also provided herein are methods of modulating VMAT2 activity,comprising contacting the transporter with the compounds in one or moresolid forms as provided herein. In one embodiment, the transporter isexpressed by a cell.

The compounds provided herein may also be combined or used incombination with other agents useful in the treatment, prevention, oramelioration of one or more symptoms of the diseases or conditions forwhich the compounds provided herein are useful, including Huntington'sdisease, tardive dyskinesia, Tourette's syndrome or tics noted above. Inone embodiment, the compounds provided herein may also be combined orused in combination with other agents useful in the treatment,prevention, or amelioration of one or more symptoms of the diseases orconditions associated with schizophrenia, schizoaffective disorder,bipolar disease, major depressive disorder and other conditions commonlytreated with antipsychotic medication.

Such other agents, or drugs, may be administered, by a route and in anamount commonly used thereof, simultaneously or sequentially with thecompounds provided herein. When an the particulates provided herein areused contemporaneously with one or more other drugs, a pharmaceuticalcomposition containing such other drugs in addition to the compoundsprovided herein may be utilized, but is not required. Accordingly, thepharmaceutical compositions provided herein include those that alsocontain one or more other active ingredients or therapeutic agents, inaddition to the compounds provided herein.

The weight ratio of the compounds provided herein to the second activeingredient may be varied, and will depend upon the effective dose ofeach ingredient. Generally, an effective dose of each will be used.Thus, for example, when the compounds provided herein are used incombination with the second drug, or a pharmaceutical compositioncontaining such other drug, the weight ratio of the particulates to thesecond drug may range from about 1,000:1 to about 1:1,000, or about200:1 to about 1:200. Combinations of the particulates provided hereinand other active ingredients will generally also be within theaforementioned range, but in each case, an effective dose of each activeingredient should be used.

EXAMPLES

The crystalline compounds of Formula I and/or Formula II in thefollowing examples were characterized with X-ray powder diffractometry(XRPD), differential scanning calorimetry (DSC), thermogravimetry (TGA),gravimetric vapour sorption (GVS), scanning electron microscopy (SEM),and Ion Chromatography (IC).

X-Ray Powder Diffraction patterns were collected on a Bruker AXS C2GADDS diffractometer using Cu Kα radiation (40 kV, 40 mA), θ-2θgoniometer, and divergence of V4 and receiving slits, a Ge monochromatorand a Lynxeye detector. Samples were run at room temperature as flatplate specimens using powdered material. The sample was gently packedinto a cavity cut into polished, zero-background (510) silicon wafer.The sample was rotated in its own plane during analysis. The data werecollected from 2 to 42 degrees two-theta at 0.05 degrees two-theta perstep and 0.5 seconds per step.

Differential scanning calorimetry was carried out using a Mettler DSC823E equipped with a 34 position auto-sampler. Typically 0.5-3 mg ofeach sample, in a pin-holed aluminium pan, was heated at 10° C./min from25° C. up to 250° C. A nitrogen purge at 50 ml/min was maintained overthe sample.

The thermogravimetric analysis was carried out on a Mettler TGA/SDTA851e equipped with a 34 position auto-sampler. The instrument wastemperature calibrated using certified indium. Typically 5-30 mg of eachsample was loaded onto a pre-weighed aluminum crucible and was heated at10° C./min from ambient temperature to 350° C. A nitrogen purge at 50ml/min was maintained over the sample.

The Gravimetric sorption isotherms were obtained using a Hiden IGASorpmoisture sorption analyser, controlled by CFRSorp software. The sampletemperature was maintained at 25° C. by a Huber re-circulating waterbath. The humidity was controlled by mixing streams of dry and wetnitrogen, with a total flow rate of 250 ml/min. The relative humidity(RH) was measured by a calibrated Vaisala RH probe (dynamic range of0-95% RH), located near the sample. The weight change, (mass relaxation)of the sample as a function of % RH was constantly monitored by themicrobalance (accuracy±0.001 mg). Typically 10-20 mg of sample wasplaced in a tared mesh stainless steel basket at room temperature. Thesample was loaded and unloaded at 40% RH and 25° C. (typical roomconditions). The standard isotherm was performed at 25° C. at 10% RHintervals over a 0-90% RH range.

Scanning Electron Micrographs (SEM) were produced by coating the desiredmaterial with a thin layer of gold (sputter coating) and examining itusing a FEI-Philips XL30 scanning electron microscope. The accelerationvoltage of the electrons used for the analysis was 2.0 KV. All imageswere captured with a computer controlled CCD camera attachment.

Ion Chromatography (IC) was performed on a Metrohm 861 Advanced CompactIC sing IC Net software v2.3. Accurately weighed samples were preparedas stock solutions in an appropriate dissolving solution and dilutedappropriately prior to testing. Quantification was achieved bycomparison with standard solutions of known concentration of the ionbeing analyzed.

The water content of each sample was performed by Karl Fisher Titrationmeasured on a Mettler Toledo DL39 Coulometer using Hydranal Coulomat AGreagent and an argon purge. Weighed solid samples were introduced intothe vessel on a platinum TGA pan which was connected to a subaseal toavoid water ingress. Approx 10 mg of sample was used per titration andduplicate determinations were made.

Thermodynamic Aqueous solubility was determined by suspending sufficientcompound in water to give a maximum final concentration of ≥10 mg/ml ofthe parent free-form of the compound. The suspension was equilibrated at25° C. for 24 hours then the pH was measured. The suspension was thenfiltered through a glass fibre C filter. The filtrate was then dilutedby an appropriate factor e.g. 101. Quantitation was done by HPLC withreference to a standard solution of approximately 0.25 mg/ml in DMSO.Different volumes of the standard, diluted and undiluted samplesolutions were injected. The solubility was calculated using the peakareas determined by integration of the peak found at the same retentiontime as the principal peak in the standard injection.

Example 1 Determination of solubility of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate)

Solubility studies of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) inthe solvents listed in Table 1 were carried out from Form I, at both 5°C. and 10° C. above the reflux temperature of each solvent. Form I wasslurried for at least 2 hours before filtration. The solubility wascalculated by gravimetric analysis after evaporation of the motherliquors collected.

Example 2 Preparation of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form I

537 mg of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester free base was weighed into a glass vial and dissolved in 5 mLMIBK. 2.56 mL (2.0 eq) of a 1M solution of p-toluenesulfonic acid inethanol was then added, giving a clear solution. This solution wasseeded with ca. 2 mg of bistosylate salt isolated from the screen,inducing immediate crystallization. The resulting suspension wasincubated for 16 h, cycling between ambient and 50° C. at 4 h intervals.After this time, the solid present was isolated by filtration and driedunder vacuum for 3 h, giving 675 mg (69%) of fine white solid.

The X-ray powder diffraction pattern of Form I is illustrated in FIG. 1.Form I has characteristic XRP diffraction peaks expressed in two-thetaat approximately at 6.3, 17.9, and 19.7°, suggesting that the compoundis crystalline. As shown in FIG. 4, the particles are of regular shapedand plate-like morphology.

The differential scanning calorimetric thermogram of Form I isillustrated in FIG. 2. Form I exhibit an endothermic event with an onsettemperature of about 240° C. with a peak temperature of 243° C.

The thermogravimetric analysis thermogram of Form I is shown in FIG. 2.Form I is very stable and shows less than about 0.4% weight loss whenheated from about 25° C. to about 140° C.

The gravimetric vapour sorption system plot of Form I is shown in FIG.3. Form I exhibit a mass increase of less than about 1% when subjectedto a an increase in relative humidity from about 0% to about 95%relative humidity.

Example 3 Recrystallization Studies of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form I

To 24.10 g of Form I was added 24 ml of acetonitrile/3% water (v/v). Thesuspension was heated to 76° C., a clear solution was observed which wasthen cooled at 0.2° C./min down to 5° C. without seeding. The solid wasfiltered and dried in a vacuum oven for 2.5 days at 50° C. to yield 72%of Form I with the characteristic XRPD of FIG. 1.

In another experiment, to 1.50 g of Form I was added 8 ml of 1-propanol(5.3 vol.). The suspension was heated at 88° C., a clear solution wasobserved which was then cooled at 0.5° C./min down to 5° C. withoutseeding. The solid was filtered and dried in a vacuum oven for 2.5 daysat 50° C. to yield 88% Form I with the characteristic XRPD of FIG. 1.

In general, Form I can be recrystallized successfully using 10 volumesof acetonitrile/3% water (v/v) or 1-propanol. The quantity of water iscritical when using acetonitrile: 3% of water is needed to get a goodsolubility of the material, but 4% water may lead to Form IV.

Example 4 Solubility of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form I, inAqueous Solutions and in Organic Solvents

100 mg of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form I wasweighed into a glass vial, and 1 ml of the relevant aqueous media wasadded. The vials were shaken. After 1 hr, a sample (˜0.5 ml) was removedvia syringe, and filtered through a syringe filter (0.2 micron) into asecond vial. 200 μl of each solution was then transferred into an HPLCvial and made up to 1 ml by adding 800 μl of diluent. These samples wereanalyzed directly by HPLC, and the response was outside the linearityrange. Therefore a second dilution was performed, taking 0.1 ml of eachsample and making up to 2 ml with diluent. The samples were re-analyzedby HPLC. Then after shaking the suspensions for 18 hours in total, asecond sample was taken as above. All samples were then diluted andanalyzed by HPLC, as above. The temperature was noted (22° C.), and nogelling was observed.

Form I shows quite consistent and quite high solubility over the rangeof pHs tested (1.2-6.8). It is slightly higher at pH 1.2 and pH 6.8.

The above procedure was repeated but using 8 different organic solventsin place of the aqueous media (analysis only after 18 hrs). Solventsused were acetonitrile, diethyl ether, ethanol, ethyl acetate,isopropanol, methanol, heptane and THF. All solvents gave suspensions at100 mg/ml, except methanol which dissolved at 100 mg in 0.3 ml.Therefore, an extra 70 mg of Form I was added to the methanol vial toresult in a suspension. These experiments were sampled once after 18hours of slurrying. The results are reported in Table 3.

Example 5 Particle Size Measurement of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form I

The average particle size and particle size distribution of theparticulates in Form I were measured using Malvern Mastersizer MicroPlusAnalyzer (Malvern Instruments, UK) using isooctane as dispersant for theexperiment. The equipment was left to warm up for about 1 hour andapproximately 100 ml of the dispersant was added to the sampledispersion unit. Backgrounds were first measured using the dispersant. Afresh sample was prepared by adding ˜100 mg of Form I into 2 ml of thedispersant and this was sonicated for ˜5 mins. The sample was addeddrop-wise into the sample dispersion unit while stirring the dispersantuntil a suitable obscuration value (i.e., 16-25%) was achieved and theparticle size distribution could be measured. A minimum of threemeasurements were made for each sample.

The Particle Size Distribution (PSD) results for(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form I, may befound in the Table 4. These are selected values from the repeatmeasurements.

Example 6 Stability Studies of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form I

Two lots of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form I, havebeen placed on stability for 60 months duration at the long-term andintermediate storage conditions and for 6 months duration at theaccelerated storage condition. The storage conditions include thelong-term storage condition of 25±2° C./60±5% RH, the intermediatestorage condition of 30±2° C./65±5% RH, and the accelerated storagecondition of 40±2° C./75±5% RH. Stability results are reported in Table5.

Up to 3 months of stability data are presented in Table 5 for two lotsof Form I. The results of accelerated and long-term stability studiesfor these lots demonstrate the chemical and physical stability of Form Iwhen stored for up to 3 months at the long-term storage condition of 25°C./60% RH and 3 months at the accelerated storage condition of 40°C./75% RH.

TABLE 1 Solubility of Formula I, in Form I, at 5° and 10° C. belowreflux for each solvent. Solubility Solubility at high at 5° C. Bolingtemperature temperature Solvent Point (mg/ml) (mg/ml) Ethyl 77 2 1Acetate Isopropyl 89 4 4 Acetate IPA 89 22 5 THF 66 6 4 MIBK 117 5 6 MEK80 4 3 Acetone 56 Could not 5 be filtered Acetonitrile 81 48 17 MeOH65 >250 >250 EtOH 78 212 24 1-propanol 98 160 8

TABLE 2 Aqueous solubility of Form I. SOLUBILITY (mg/ml) Aqueous pH l hr18 hrs 1.2 31.61 33.17 3 28.45 27.97 4 28.06 27.75 5 18.58 27.87 6.833.98 35.35

TABLE 3 Solubility of Form I in organic solvents. Solubility Solvent(mg/ml)-18 hrs Water 28.2 Methanol 480.8 Ethanol 35.5 Isopropanol 1.15Ethyl acetate 0.04 Acetonitrile 1.36 THF 0.05 Diethyl ether 0.01 Heptane0.003

TABLE 4 Particle size distribution of Form I. Particle size parameter(microns) Form Treatment D10 D20 D50 D80 D90 Form I Suspended in 10.2917.84 34.72 56.22 69.39 iso-octane and sonicated 5 min

TABLE 5 Stability data for three lots of Form I. Stability Storage DataLot Condition Available 1 25° C./60%  3 months RH 40° C./75%  3 monthsRH 2 25° C./60%  3 months RH 40° C./75%  3 months RH 3 25° C./60% 24months RH 40° C./75%  6 months RH

TABLE 6 Recrystallization Studies of Form I. Recrystallization XRPD NMRPurity HPLC Yield — Crystalline- No residual  100% — Form I solvent-2.0eq. of acid Acetonitrile/3% Crystalline- No residual  100% 72% waterForm I solvent-2.0 eq. of acid 1-propanol Crystalline- No residual 97.4%88% Form I solvent-1.9 eq. of acid

Example 7 Preparation of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form II

186 mg of amorphous(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) wasslurried in 3 volumes of water overnight (4 h heat/cool cycle between RTand 50° C.). A white crystalline material was obtained and dried in avacuum oven at 40° C. for 4 h.

The X-ray powder diffraction pattern of Form II is illustrated in FIG.5. Form II has characteristic XRP diffraction peaks expressed intwo-theta at approximately 5.7, 15.3, and 22.5°, suggesting that thecompound is in a crystalline form (Form II) that is different from FormI.

The differential scanning calorimetric thermogram of Form II isillustrated in FIG. 6. Form II exhibit an endothermic event with anonset temperature of about 143° C. with a peak temperature of 155° C.

Example 8 Preparation of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form III

Maturation of 100 mg of amorphous(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) in95:5 1,4-dioxane/water for 72 h, cycling between ambient and 50° C.every 4 h gave a solid. The solid was isolated by filtration and driedunder vacuum for 3 h.

The X-ray powder diffraction pattern of Form III is illustrated in FIG.8. Form III has characteristic XRP diffraction peaks expressed intwo-theta at approximately 6.3, 18.3, 18.9, 19.8, and 20.4°, suggestingthat the compound is in a crystalline form (Form III) that is differentfrom Form I, or II.

The differential scanning calorimetric thermogram of Form III isillustrated in FIG. 9. Form III exhibit an endothermic eventstemperatures of about 93° C., about 158° C., and about 230° C.

Example 9 Preparation of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form IV

(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) (500mg) was dissolved in 1.0 ml acetonitrile/10% water at 71° C. The clearsolution was then cooled down at 10° C./hr down to 5° C. The solid wasfiltered and dried at 30° C. under vacuum for 1.5 hour.

The X-ray powder diffraction pattern of Form IV is illustrated in FIG.10. Form IV has characteristic XRP diffraction peaks expressed intwo-theta at approximately 6.2, 10.4, 17.9, 19.2, 19.9, and 20.2°,suggesting that the compound is in a crystalline form (Form IV) that isdifferent from Form I, II, or III.

The differential scanning calorimetric thermogram of Form IV isillustrated in FIG. 11. Form IV exhibit an endothermic eventstemperatures of about 128° C., about 159° C., and about 237° C.

Example 10 Preparation of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form V

1.41 g of amorphous(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) wasslurried in 5 ml of water for 4 hours. A white crystalline material wasfiltered and dried. The mother liquors were kept. Crystalline needlesprecipitated from the mother liquors after 48 h. The particles weredried in a vacuum oven at RT for 2 h.

The X-ray powder diffraction pattern of Form V is illustrated in FIG.13. Form V has characteristic XRP diffraction peaks expressed intwo-theta at approximately 6.7, 7.9, 10.7, 12.8, 17.1, and 23.7°,suggesting that the compound is in a crystalline form (Form V) that isdifferent from either Form I, II, III, or IV.

The differential scanning calorimetric thermogram of Form V isillustrated in FIG. 14. Form V exhibit an endothermic eventstemperatures of about 113° C., and about 181° C.

Example 11 Preparation of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate), Form VI

1.41 g of amorphous(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) wasslurried in 5 ml of water for 4 hours. A white crystalline material wasfiltered and dried in a vacuum oven at 40° C. overnight.

The X-ray powder diffraction pattern of Form VI is illustrated in FIG.16. Form VI has characteristic XRP diffraction peaks expressed intwo-theta at approximately 6.8, 8.0, 16.3, and 17.5°, suggesting thatthe compound is in a crystalline form (Form VI) that is different fromeither Form I, II, III, IV, or V.

The differential scanning calorimetric thermogram of Form VI isillustrated in FIG. 17. Form VI exhibit an endothermic eventstemperatures of about 175° C., and about 238° C.

Example 12 Phase Equilibration Between Form I, II, and IV of Formula I

Form I (80 mg), Form II (50 mg) and Form IV (20 mg) were mixed together.About 10 mg of the mixture was then slurried in 200 μl of pre-saturatedsolvent at the desired temperatures for 13 days. The solids were thenquickly filtered and analyzed by XRPD.

Form IV was found to be the thermodynamic product at 5° C. for mixtureof acetonitrile/water>2%. At 25° C., only Form I was observed. Theresults are summarized in Table 7.

Example 13 Phase Equilibration Between Form I and IV of Formula I

The suspensions of Form I and IV from the equilibration studies weretaken to 25° C. Form IV did not convert after overnight stirring. Thesamples were then heated to 30° C. for 2 days, the conversion to Form Iwas then complete. The results are reported in Table 8.

TABLE 6 Equilibration studies between Form I, II, and IV. Solvent 5° C.25° C. 50° C. Acetonitrile Form I Form I Form I Acetonitrile/2% waterForm I-Poorly crystalline Form I Form I Acetonitrile/5% water Form IVForm I Form I Acetonitrile/10% water Form IV Form I Form I

TABLE 7 Equilibration studies between Form I and IV of Formula I.Observation Observation after heating XRPD after heating XRPD at 30° C.(overnight) results at 30° C. (2 days) results White precipitate FormIV + White precipitate Form I trace of Form I White precipitate Form IVWhite precipitate Form I White precipitate Form IV White precipitateForm I White precipitate Form IV White precipitate Form I Whiteprecipitate Form IV White precipitate Form I

TABLE 8 X-Ray Powder Diffraction of Form I of Formula I. Angle Intensity% 2-Theta ° % 5.4 5 6.3 100 8.5 3 9.8 3 10.8 3 11.4 3 11.5 4 12.6 4 12.85 13.8 5 15.6 12 16.2 4 16.6 12 16.9 5 17.1 7 17.9 13 18.4 10 19.7 4620.0 11 20.6 6 20.9 5 22.1 6 22.7 13 23.1 9 24.4 7 24.6 8 25.3 7 25.7 426.3 4 30.4 4 35.4 4

TABLE 9 X-Ray Powder Diffraction of Form II of Formula I. AngleIntensity % 2-Theta ° % 5.7 100 7.1 5 7.6 5 10.2 4 10.4 4 11.5 6 14.2 1215.3 26 15.9 12 16.5 4 16.9 6 17.5 5 17.9 5 18.6 10 19.9 4 20.3 6 20.5 820.8 8 21.7 4 22.5 15 22.8 6 23.1 6 23.5 5 24.6 4 27.0 6 27.6 6 28.6 528.9 6 30.2 4 40.3 4

TABLE 10 X-Ray Powder Diffraction of Form III of Formula I. AngleIntensity % 2-Theta ° % 6.3 100 7.1 4 11.7 4 12.2 8 13.2 5 14.1 8 14.311 14.8 4 15.3 14 15.6 3 16.3 9 16.6 5 16.9 9 17.4 9 18.3 29 18.9 2119.8 35 20.4 25 21.2 10 21.3 9 22.3 4 22.8 7 23.5 6 24.1 13 24.3 7 24.55 24.8 5 29.7 6 29.9 7

TABLE 11 X-Ray Powder Diffraction of Form IV of Formula I. AngleIntensity % 2-Theta ° % 3.7 4 5.0 4 6.2 100 9.0 9 9.9 3 10.4 10 10.7 311.1 7 11.5 3 12.5 6 12.7 5 14.6 6 16.0 8 16.9 9 17.3 9 17.9 10 18.5 518.8 8 19.2 11 19.9 10 20.2 19 21.0 9 21.6 7 22.6 6 24.8 4 25.7 6 27.2 7

TABLE 12 X-Ray Powder Diffraction of Form V of Formula I. AngleIntensity % 2-Theta ° % 5.4 24 6.7 100 7.9 70 8.3 5 10.7 24 12.8 18 13.117 13.5 15 14.1 6 14.3 5 14.7 4 15.4 4 15.8 29 16.0 26 17.1 30 17.8 518.4 16 19.4 11 19.9 11 20.2 13 20.4 10 20.6 11 20.9 11 21.5 27 21.8 922.7 9 23.7 31 24.0 13 24.2 14 24.5 5 24.8 7 25.1 7 25.8 6 26.3 6 26.5 726.9 5 27.5 11 28.3 8 29.5 8 29.8 13 30.7 5 31.6 7 33.0 5 37.1 6 39.6 941.2 5

TABLE 13 X-Ray Powder Diffraction of Form VI of Formula I. AngleIntensity % 2-Theta ° % 5.4 29 6.8 100 8.0 48 8.4 4 11.1 6 11.6 5 13.6 814.2 6 16.3 15 16.8 6 17.5 20 17.8 12 18.7 14 19.0 8 19.4 5 19.7 10 20.18 20.9 12 21.3 12 21.5 12 22.1 13 22.5 11 23.5 6 24.2 7 25.4 6 27.1 627.4 6

Example 14 Preparation of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II), Form I

To a suspension of(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-olsalt (32.3 g, 58.54 mmol) in dichloromethane (300 mL) was added 0.5 Maq. NaOH solution (150 mL). The organic layer was separated and washedwith water (50 mL) and then dried over Na₂SO₄. The organic layer wasfiltered and to the resulting mixture was added DMAP (1.79 g, 0.25equiv., 14.63 mmol) and Boc-L-Val-OH (15.26 g, 1.2 equiv., 70.25 mmol).The reaction mixture was cooled to −10° C., EDC (16.83 g, 1.5 equiv.,87.81 mmol) was added and the resulting mixture was stirred for 3 hrs.To the mixture was added 0.2 equiv. of Boc-L-Val-OH (2.54 g) and 0.25equiv. of EDC (2.8 g). After 1.5 hrs of stirring, water was added (50mL), the organic layer was separated and washed with aq. 5% citric acidsolution (2×100 mL). The combined organic extracts were washed withwater (100 mL) and then dried over Na₂SO₄. The organic layer wasfiltered and dried.

The crude was taken in dichloromethane and cooled to 5° C. To themixture was added 4M HCl solution in dioxane (64. 37 mL, 4.4 equiv.,257.50 mmol). Additional 20 mL of 4M HCl solution in dioxane was added.After 5 hrs the reaction mixture was cooled to 10° C. and 8% aq. NaHCO₃solution (700 mL) was added. The organic layer was separated and theaqueous layer was extracted with dichloromethane (100 mL). The combinedorganic extracts were washed with water and then dried over Na₂SO₄,filtered and concentrated under vacuum to give a residue. To the residuewas added acetonitrile and the resulting mixture was treated with 2.1equiv. of 3.5 N HCl in IPA solution at 5° C. The reaction mixture waswarmed to room temperature. EtOAc was added and the mixture heated to50° C. and seeded with 165 mg of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride. After 30 min stirring at 50°C. was added more EtOAc and the mixture was refluxed for 1 h. Theheating was removed and the mixture was allowed to reach roomtemperature. Solids were removed by filtration and washed with EtOAc togive 15.4 g of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride.

The X-ray powder diffraction pattern of Form I is illustrated in FIG.20. Form I has characteristic XRP diffraction peaks expressed intwo-theta at approximately 7.2, 9.2, and 18.0°, suggesting that thecompound is in a crystalline form (Form I). Thermal analysis exhibit amass increase of about 14% when subjected to a an increase in relativehumidity from about 0% to about 90% relative humidity. Storage at 25°C./92% RH and 40° C./75% RH for seven days both induced a change ofform. Aqueous solubility was assessed as >90 mg/mL free form equivalentat pH 4.1.

Example 15 Preparation of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II), Form II

Form II was prepared by spreading 200 mg of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II), in Form I, in athin layer in an eating dish and exposing the sample to an environmentof 25° C./75% RH for 72 h.

The X-ray powder diffraction pattern of Form II is illustrated in FIG.24. Form II has characteristic XRP diffraction peaks expressed intwo-theta at approximately 4.8, 13.3, and 24.9°, suggesting that thecompound is in a crystalline form (Form II) that is different from thatof Form I. Thermal analysis showed a 10.4% mass loss, while Karl Fisheranalysis gave the water content as 13.9% m/m. Aqueous solubility wasassessed as >67 mg/mL free form equivalent at pH 4.1.

A VT-XRPD study showed no conversion to Form I on heating; the materialbecoming amorphous at temperatures above about 160° C. with nosubsequent crystallization upon cooling. GVS analysis showed thematerial to lose ca. 12% of its mass when the RH is lowered to 0%. It isnot clear whether a form change accompanies this loss of water, as thewater is readily taken back up when the sample is returned to ambientRH.

TABLE 14 X-Ray Powder Diffraction of Form I of Formula II. AngleIntensity % 2-Theta ° % 6.9 22 7.2 100 7.2 100 8.2 13 9.2 37 10.7 1312.7 14 14.0 8 15.1 11 16.4 7 17.4 10 18.0 34 18.4 13 20.0 12 20.8 2422.5 18 23.3 10 23.7 8 24.0 13 24.2 7 25.3 7 25.7 8 25.9 19 27.7 6 29.07 29.6 8 30.3 7 31.0 8 33.2 8 36.6 9

TABLE 15 X-Ray Powder Diffraction of Form II of Formula II. AngleIntensity % 2-Theta ° % 4.3 52 4.8 100 7.2 18 7.6 20 8.4 44 8.7 45 9.536 10.6 20 10.9 24 11.5 19 12.4 15 12.8 16 13.3 69 14.1 53 14.6 40 15.321 16.3 13 16.6 18 17.1 18 18.4 47 19.0 13 20.0 22 20.3 16 21.1 29 21.321 22.1 16 23.7 15 24.5 16 24.9 72 25.3 39 25.7 26 26.1 24 26.5 36 26.739 27.2 18 27.5 17 27.9 17 28.1 16 28.4 17 28.8 20 29.2 18 30.5 18

Example 16 Preparation of amorphous (S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido [2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) and(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl 2-amino-3-methylbutanoate dihydrochloride(Formula II)

About 15 mg of(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) and(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) were each takenup in 2 mL of 2:1 tBuOH:water. The resulting clear solutions were flashfrozen in a dry-ice/acetone bath and lyophilized to fluffy white solids.XRPD analysis showed the freeze dried material to be amorphous in eachcase, and 41 NMR confirmed that the respective counter-ions were stillpresent.

Example 17 Maturation Array of amorphous (S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido [2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) and(S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl 2-amino-3-methylbutanoate dihydrochloride(Formula II)

About 50 mg of amorphous (S)-(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido [2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate di(4-methylbenzenesulfonate) (Formula I) and(S)-(2R,3R,11bR)-3-isobutyl-9, 10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-pyrido[2,1-a]isoquinolin-2-yl2-amino-3-methylbutanoate dihydrochloride (Formula II) was weighed intoeach of 48 vials. Enough of the specified solvent was added to form amobile slurry and the vials were incubated for 72 h, cycling betweenambient and 50° C. every 4 h. Any solids present at this point wereisolated by filtration and analysed by XRPD. Experiments without solidwere uncapped and allowed to nucleate; none of these furnished anycrystalline material, all giving sticky gums. Results are shown on Table16.

TABLE 16 Maturation array on amorphous salts of Formula I and FormulaII. Bis-Tosylate Bis-Hydrochloride Solid Solid Volume isolated Volumeisolated Details Solvent (μL) after XRPD (μL) after XRPD Heptane 500maturation Form I 500 maturation amorphous Dioxane 250 maturationPossible 500 maturation Form I mixture Toluene 500 maturation New 500maturation partially Pattern (2) crystalline Form II Cumene 500maturation New 500 maturation partially Pattern (2) crystalline Form IITBME 500 maturation Form I 500 maturation amorphous Tetraline 500 gumafter n/a 500 gum after n/a evap evap DIPE 500 maturation Form I 500maturation amorphous Anisole 250 maturation New 500 gum after n/aPattern (2) evap Isobutyl 250 maturation New 500 maturation amorphousacetate Pattern (2) Ethyl actetate 500 maturation Form I 500 maturationForm I Isopropyl 500 maturation Form I 500 maturation amorphous acetateMethyl 500 maturation Possible 500 maturation Form I acetate mixture IPA250 maturation Form I 500 gum after n/a evap Ethyl 250 maturation Form I500 maturation new pattern (3) formate THF 250 maturation Form I 500maturation Form I DCE 250 maturation Poorly 500 gum after n/acrystalline evap MIBK 500 maturation Form I 500 maturation amorphous MEK250 maturation Form I 500 maturation Form I Acetone 250 maturation FormI 500 maturation Form I Methanol 250 gum after n/a 500 gum after n/aevap evap Ethanol 250 gum after n/a 500 gum after n/a evap evapAcetonitrile 250 maturation Form I 500 gum after n/a evap Nitromethane250 maturation Form I 500 gum after n/a evap Water 250 maturation New500 gum after n/a Pattern (2) evap

Example 18 Counter-ion screen of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester

About 50 mg (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester free base was weighed into each of 54 HPLC vials 500 μL of therelevant solvent was then added to each and the vials shaken at roomtemperature for 1 h, giving clear solutions in all cases. 2.0 eq of therelevant acid was then added to each experiment. The vials were thenplaced in an incubator for 16 h, cycling between ambient and 50° C.every 4 h. Any visible solids were filtered off and analyzed by XRPD.Any vials containing gums were incubated for a further 60 h, after whichpoint any solids were isolated by filtration and characterized by XRPD.

Example 19 Anti-Solvent Mediated Counter-Ion Screen of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester

About 50 mg of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester free base was weighed into each of 27 reaction tubes. To 18 ofthese was added 500 μL of acetonitrile, to the other nine was added 500μL of 99:1 acetonitrile/water. 2.1 eq of the relevant acid was thenadded, in the most concentrated form available. Enough ethyl acetate wasadded to each tube to induce cloudiness and the tubes were heated to 50°C. for 1 h before being allowed to cool to RT, with constant stirring.Any solids present were filtered off and analyzed by XRPD. In additionto reproducing the crystalline salt forms of tosic acid and oxalic acidisolated in Example 18, new crystalline hydrobromide andmethanesulfonate salts were identified, as well as a benzenesulfonatesalt with a different diffraction pattern to that observed previously.DSC analysis of this new besylate form showed an early endothermic eventfollowed by an apparent re-crystallization and subsequent melt. Resultsare shown in Tables 17.

TABLE 17 Results from anti-solvent mediated counter-ion screen. MeCN (noadded MeCN (1% added Experimental Details water)-A water)-A Acid Addedas observations XRPD observations XRPD Hydrobromic acid 48% aq. oil(xtal on crystalline oil solution standing) Hydrochloric acid 4M dioxanefine solid deliquesced oil solution Sulphuric acid 97.50% Oil oil1,2-ethanedisulphonic solid Gum oil acid p-Toluene sulphonic solid finesolid crystalline fine crystalline acid (monohydrate) solid Methanesulphonic solid oil (xtal on crystalline fine crystalline acid standing)solid Benzene sulphonic solid fine solid crystalline fine crystallineacid solid Oxalic acid solid fine solid partially fine partiallycrystalline solid crystalline Maleic acid solid Oil oil Phosphoric acid85% aq. fine solid deliquesced experiment not Solution performedL-Tartaric acid solid Gum experiment not performed Fumaric acid solidunfilterable experiment not gel performed Citric acid solid fine soliddeliquesced experiment not performed L-Malic acid solid Gum experimentnot performed Hippuric acid solid fine solid input acid experiment notperformed D-gluconic acid 45% wt. in Oil experiment not water performedL-lactic acid solid Oil experiment not performed Succinic acid solid Oilexperiment not performed

Example 20 Polymorphic Assessment of Salts from Anti-Solvent MediatedCounter-Ion Screen of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester

About 10 mg of the relevant salt form was suspended in 100 μL of thespecified solvent. The suspensions were then incubated for 72 h, cyclingbetween ambient and 50° C. every 4 h. After cooling to RT, any solidspresent were filtered off and analyzed by XRPD. The results are shown onTable 18.

TABLE 18 Results of polymorphism assessment. Details A-TosylateB-Oxalate C-Mesylate D-Besylate E-Hydrobromide Solvent Pattern PatternPattern Pattern Pattern MeOH n/a n/a n/a n/a n/a MeCN possible newamorphous possible new largely form one pattern (1) pattern (1)amorphous IPA form one form one form one possible new form one pattern(1) MEK possible new possible new form one possible new possible newpattern (2) pattern (1) pattern (2) pattern (1) MIBK form one possiblenew form one form one new pattern (2) pattern (2) DCM form one possiblenew form one form one new pattern (2) pattern (3) THF form one largelyform one possible new form one amorphous pattern (1) IPAc form one formone form one form one form one DIPE form one form one form one form oneform one TBME form one form one largely form one form one amorphous

While diffraction patterns with extra peaks were noted for all the salts(labelled as possible new patterns in the table above), a new form w a sconclusively identified for the hydrobromide salt, isolated from MIBKand DCM. In the other cases, the material was mostly of the same formput into the experiments, with some additional peaks present.

TABLE 19 Summary of salts formed. Characterization Aqueous mp solubilityStability to humidity Synthetic details onset mg/mL 40° C./75% 25°C./92% GVS Salt form Yield Purity Eq counterion XRPD (° C.) free form pHRH RH uptake tosylate 69% 99.1% 2.1 crystalline 239 15.00 5.24 unchangedunchanged  1.0% by NMR oxalate 74% 98.2% 2.1 crystalline 200 >50 2.43unchanged unchanged  0.8% by IC mesylate 85% 98.4% 2.1 crystalline177 >70 3.97 unchanged deliquesced  3.4% by NMR besylate 86% 99.1% 2.0crystalline 239 25.1 4.74 unchanged unchanged  3.7% by NMR hydrobromide61% 98.7% 2.0 crystalline 158, 85.3 3.38 form form >3.9% by IC 248change change hydrochloride n/a 99.0% 2.1 crystalline 244 >90 4.09 formform 15.2% by IC change change (form change)

All the salts formed showed bis stoichiometry and purity comparable tothe input material.

The examples set forth above are provided to give those of ordinaryskill in the art with a complete disclosure and description of how tomake and use the embodiments, and are not intended to limit the scope ofthe disclosure. Modifications of the above-described modes for carryingout the disclosure that are obvious to persons of skill in the art areintended to be within the scope of the following claims. Allpublications, patents, and patent applications cited in thisspecification are incorporated herein by reference as if each suchpublication, patent, or patent application were specifically andindividually indicated to be incorporated herein by reference.

What is claimed is:
 1. A process for preparing crystalline Form I of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt comprising the steps of: contacting(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt with a solvent; and isolating crystalline Form I of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt.
 2. The process according to claim 1, wherein thesolvent is selected from: acetonitrile, dichloromethane,N,N-dimethylformamide (DMF), 1,4-dioxane, methanol, 2-methoxyethanol,methyl isobutyl ketone (MIBK), acetone, 1-butanol, methyl t-butyl ether(MTBE), dimethyl sulfoxide (DMSO), ethanol, ethyl acetate, isobutylacetate, isopropyl acetate, 1-propanol, isopropanol (IPA), methyl ethylketone (MEK), tetrahydrofuran (THF), water; and a mixture thereof. 3.The process according to claim 2, wherein the solvent is methyl isobutylketone (MIBK).
 4. The process according to claim 2, wherein the solventis isopropanol (IPA).
 5. The process according to claim 2, wherein thesolvent is acetonitrile.
 6. The process according to claim 1, whereinprior to the contacting with the solvent (S)-2-amino-3-methyl-butyricacid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt is a form selected from: an oil, a semisolid, asolid, and mixtures thereof.
 7. The process according to claim 6,wherein the solid of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt is selected from: an amorphous form, Form I, FormII, Form III, Form IV, Form V, Form VI, and mixtures thereof.
 8. Theprocess according to claim 1, wherein the isolating comprises filteringcrystalline Form I of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt from the solvent.
 9. The process according to claim1, wherein crystalline Form I of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has a purity of no less than 97% by weight of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt.
 10. The process according to claim 1, whereincrystalline Form I of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has a differential scanning calorimetric (DSC) onsettemperature within 2% of 240° C.
 11. The process according to claim 10,wherein the DSC onset temperature is within 0.5% of 240° C.
 12. Theprocess according to claim 1, wherein crystalline Form I of(S)-2-amino-3-methyl-butyric acid (2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has a differential scanning calorimetric (DSC) peaktemperature within 2% of 243° C.
 13. The process according to claim 12,wherein the DSC peak temperature is within 0.5% of 243° C.
 14. Theprocess according to claim 1, wherein crystalline Form I of(S)-2-amino-3-methyl-butyric acid (2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has an X-ray powder diffraction (XRPD) patterncomprising a peak at a two-theta angle of 6.3°±0.2°.
 15. The processaccording to claim 1, wherein crystalline Form I of(S)-2-amino-3-methyl-butyric acid (2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has an X-ray powder diffraction (XRPD) patterncomprising a peak at a two-theta angle of 17.9°±0.2°.
 16. The processaccording to claim 1, wherein crystalline Form I of(S)-2-amino-3-methyl-butyric acid (2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has an X-ray powder diffraction (XRPD) patterncomprising a peak at a two-theta angle of 19.7°±0.2°.
 17. The processaccording to claim 1, wherein crystalline Form I of(S)-2-amino-3-methyl-butyric acid (2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt is stable upon exposure to about 25° C. and about60% relative humidity.
 18. The process according to claim 1, whereincrystalline Form I of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has a purity of no less than 97% by weight of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt; and has a differential scanning calorimetric (DSC)onset temperature within 2% of 240° C. and a differential scanningcalorimetric (DSC) peak temperature within 2% of 243° C.
 19. The processaccording to claim 1, wherein the solvent is acetonitrile; andcrystalline Form I of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has a purity of no less than 97% by weight of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt; and has a differential scanning calorimetric (DSC)onset temperature within 2% of 240° C. and a differential scanningcalorimetric (DSC) peak temperature within 2% of 243° C.
 20. The processaccording to claim 1, wherein crystalline Form I of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has a purity of no less than 97% by weight of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt; and has an X-ray powder diffraction (XRPD) patterncomprising peaks at two-theta angles of 6.3°±0.2°, 17.9°±0.2°, and19.7°±0.2°.
 21. The process according to claim 1, wherein the solvent isacetonitrile; and crystalline Form I of (S)-2-amino-3-methyl-butyricacid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt has a purity of no less than 97% by weight of(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt; and has an X-ray powder diffraction (XRPD) patterncomprising peaks at two-theta angles of 6.3°±0.2°, 17.9°±0.2°, and19.7°±0.2°.
 22. The process according to claim 1, wherein the(S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt is:


23. Crystalline Form I of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt prepared according to claim
 1. 24. Crystalline FormI of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt prepared according to claim
 18. 25. Crystalline FormI of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt prepared according to claim
 19. 26. Crystalline FormI of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt prepared according to claim
 21. 27. Crystalline FormI of (S)-2-amino-3-methyl-butyric acid(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ylester tosylate salt prepared according to claim
 22. 28. A method oftreating a hyperkinetic movement disorder comprising administering thecrystalline form of claim 23, wherein the treating is ameliorating oneor more symptoms of the hyperkinetic movement disorder.
 29. The methodof claim 28, wherein the hyperkinetic movement disorder is tardivedyskinesia.